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Safety and Buildings Division <br /> PLAN APPROVAL <br /> DILHR Bureau of Plumbing <br /> _ P.O Box 7969 <br /> ❑ General Plumbing Plans Madison, WI 53707 <br /> `�Z Private Sewage Plans Telephone: (608)266-3815 <br /> i <br /> r <br /> � ,JJ# ' <br /> , ,. . .� <br /> r-. <br /> 0#tt*6=1 <br /> Project Name Project Location - Street No. or Legal Description <br /> my <br /> ❑ City ❑ Village , f] Town of: <br /> The plumbing plans and specifications for this project have been reviewed for complian appica e 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 /> [-1 FOR GENERAL PLUMBING PLANS: <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 /> f_l FOR PRIVATE SEWAGE PLANS: <br /> This approval will expire two years from the date approved below or if a sanitary permit is obtained, it will expire the day the initial sanitary <br /> permit expires. <br /> Comments: <br /> By: <br /> James Sargent <br /> Bureau Director <br /> If Questions Plans Approved By: Date Approved: <br /> Contact y <br /> cc: ,.r] OWS ❑ DPS ❑ H&R & Rec. San. Section <br /> C County ❑ Local PI ❑ Facilities Need Analysis Section <br /> ❑ UW-SSWMP ❑ Plumber ❑ Department of Agriculture <br /> DIwR-SBD-6099(R.01/84) ❑ Owner ❑ Other <br />