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�' O'LHR Safety and Buildings Division <br /> PLAN APPROVAL Bureau of Plumbing <br /> P.O Box 7969 <br /> Sn/ General Plumbing Plans Madison,wt 53707 <br /> I� Private Sewage Plans Telephone: (608)266-3815 <br /> MWc_�x v ��, 5 � �» t�t-1 � �� • _ <br /> Pro)ect Name Project Location -Street No. or Legal Description <br /> ounty <br /> ❑ City F1 Village Town of: Z. LThe plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is <br /> based on Chapter 145,Wisconsin Statutes and the Wisconsin Administrative Code.The plans are stamped"conditionally approved".This approval <br /> is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the <br /> city, village, township or county shall be obtained prior to construction.The licensed plumber responsible for this installation shall keep one set of <br /> plans with the department's approval stamp at the construction site.The installer shall notify the appropriate inspector when inspections can be <br /> made. <br /> ❑ FOR GENERAL PLUMBING PLANS: 3a 3b 3c 3d 3e 3f 3g <br /> This approval will expire two years from the date approved below. If construction has not commenced before the expiration date, new plan <br /> approval must be obtained. <br /> XFOR PRIVATE SEWAGE PLANS: (1) (2) a) (3b) (4a) (4b) (6) (7) <br /> his approval will expire two years from the ate approved below or if a sanitary permit is obtained, it will expire the day the initial sanitary <br /> permit expires. <br /> The Bureau of Plumbing has reviewed these plans for plumbing and/or private sewage code requirements only.All other system reviews must be <br /> submitted to the Bureau of Buildings and Structures. <br /> Comments: <br /> 1SSr 1Pi'.i v.. <br /> By: ///�J/f ///,(/ <br /> CLzt, � -L: L7- <br /> Jame, <br /> s Sargent <br /> Bureau Director <br /> If Questions Plans Approved By: / / Date Appr ved: <br /> Contact * <br /> cc Privattii Sewa . Consultant F1 Plumbing Consultant ❑ Environmental Health <br /> County El PI ❑ Facilities Need Analysis Section <br /> 01 -SSWMP ❑ Plumber CI Department of Agriculture <br /> DIwR-SBD-6099(2.01/85) L i Owner ❑ Other <br />