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(�) SIL- HR PLAN APPROVAL Safety and Buildings Division <br /> Bureau of Plumbing <br /> P.O Box 7%9 <br /> p/ General Plumbing Plans Madison,WI 53707 <br /> Private Sewage Plans Telephone: (608)266-3815 <br /> J / f ` <br /> L4 . <br /> .Project Name Project Location- Street No. or Legal Description <br /> / Codnty.,.� <br /> ❑ City LlVillage Town of: / /t - .,(� <br /> The plumbing plans and specifications for this project have been reviewed for compliance wit app;cable 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 /> „ FOR PRIVATE SEWAGE PLAN : (1);)2) (3a) (3b) (4a) (4b) (6) (7) <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 /> 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 /> By: <br /> i <br /> James Sargent <br /> Bureau Director <br /> i� <br /> If Questions Plans Approved By: rr / ,' Date Approved <br /> Contact y �ti .✓ - f�� -. / <br /> cc: Private Sew ge Consultant El Plumbing Consultant n Environmental Health <br /> unty ❑ Local PI ❑ facilities Need Analysis Section <br /> /❑ UW-SSWMP ❑ Plumber ❑ Department of Agriculture <br /> D11 HR-SBD-6099 R 01/85) ❑ Owner ❑ Other <br />