HomeMy WebLinkAboutInspection & Test Report Plastic DWV Installation - 04/20/1972 �� €
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Plb a88 Approval Number 1072
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Inspection � Test Report Plastic DWV Installation �
to
� Division of Health - Plumbing Section
' � P.O. Box 309, Madison, Wisconsin 53701
Pursuant to Chapter 145 State Statutes b Chapter H 62 Wis. Administrative Code
In accord with Chapter 145 State Statutes and Chapter H 62 Wis. Admi'nistrative Code ,
it is mandatory that the following inspection and test report be completed and
returned to the Division of Health for this specific plastic drain waste and vent
installation. �
Owner's Name John Hendrickson
Property�qAddress (Location) 901 Windward Court
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City, Village� To:.nship Oshkosh County Winnebago
Plumber's Name �� ,/� , 5��,�,�,,,�, y�, Address '�� � � �.�.,.,�_
Building �Single Family Q'Duplex
Number of F loors Q'One [�Two
Type of Plastic �ABS ['PVC
Manufacturer's Name � : Proper ldentification Yes ❑No
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, Expansion Joint Stack ❑Yes ❑No
Length Longest Horizontal Branch �,
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Number Branches Exceeding 20 Feet
, Expansion Joints Installed ❑Yes ❑No
Horizonta) Pipe Supports - Maximum Distance 8etween Supports
I Vertical Piping Supports Each Floor Level ❑Yes ❑No
Type of Roof Flashinq ❑ Expandable t_.+Neoprene Ring
Water Test Nandatory
Re s u 1 t s �9.-�Y-��" �
Fa i 1 ures or Remarks ` ��.�C.
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Inspectors Name Title
City, Village, Township /` / ,�-�c-?�
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