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1983/10/18 - SANITARY - SAN - New HT - 11122
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1983/10/18 - SANITARY - SAN - New HT - 11122
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Last modified
11/6/2024 12:00:34 PM
Creation date
11/6/2024 11:07:59 AM
Metadata
Fields
Template:
Property Files v2
Document Date
10/18/1983
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
New HT
County Permit Number
11122
State Permit Number
45644
Tax ID
18213
Pin Number
07-028-2-40-14-19-5 05-003-012000
Legacy Pin
028411903800
Municipality
TOWN OF SCOTT
Owner Name
BETTY A PASKAUSKY DIANE M GILBERTSON
Property Address
3078 KILSTROM RD
City
WEBSTER
State
WI
Zip
54893
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Department of Industry, Labor& Human Relations <br /> Division of Safety& Bldgs. <br /> State or Wisconsin Bureau of Plumbing Platting& Fire Protection <br /> _21�rp__It) P.O. Box7969 <br /> Madison WI. 53707 <br /> Tel. 608-266-3815 <br /> I INALL CORRESPONDENCE <br /> REFER TO PLAN <br /> IDENTIFICATION NO. <br /> u <br /> CAJ <br /> 1 <br /> NAME OF PROJECT <br /> TYPE OF APPROVAL <br /> STREET AND NO. <br /> CITY OR TOWN CAr STATE ' ZIP <br /> OWN <br /> Gentlemen: <br /> Examination of plumbing plans and specifications for the above-mentioned project has been completed. In accord with Chapter 145, <br /> Wisconsin Statutes and Wisconsin Administrative Code, the plumbing plans and specifications are approved contingent upon com- <br /> pliance with the stipulations indicated on the plans. Please review your code for the requirements of each code section noted. <br /> The architect, professional engineer, registered designer, owner or plumbing contractor shall keep at the construction site one set of <br /> plans bearing the stamp of approval of the department. <br /> Idate, "10-11111— <br /> In granting this approval, the Division of Safety and Buildings does not hold itself liable for any defects in plans or specifications, plan <br /> omissions, examination and reserves the right to order changes or additions should conditions arise making this necessary. <br /> This approval is based on Wisconsin Administrative Code requirements. It shall be necessary to obtain and fulfill the permit require- <br /> ments of the city, village, township or county in which this installation is to be constructed. Failure to obtain local permits will auto- <br /> matically void this acceptance. <br /> For Priv.^t. ;V^tc:my C;r— <br /> Sincerely, tor two <br /> v(,arS cr until <br /> exri <br /> :cHl�tdr',' <br /> James Sargent-Bureau Director <br /> PLANS REVIEWED BY: DATE: <br /> cc: Owner D I L H R <br /> Loca Plumber H& R (2) <br /> _ . 1 Mfg.Rep. Bur.of Health Fac.&Services <br /> Di L 589�999 . 0 /80) Rec.& Env.Services <br />
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