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ODILHR Safety and Buildings Division <br /> PLAN APPROVAL Bureau of Plumbing <br /> P.O Box 7%9 <br /> ❑ General Plumbing Plans Madison, WI 53707 <br /> a'Private Sewage Plans Telephone: (608)266-3815 <br /> 4, <br /> ti <br /> Project Name Project Location - Street No. or Legal Description <br /> CZL <br /> t -- <br /> ❑ City ❑ Village 'Town of 4 ! / �, - <br /> The 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 /> E-r FOR PRIVATE SEWAGE PLANS: (1) 63)11(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 /> � :,zt -trz.7 <br /> James Sargent <br /> Bureau Director <br /> If Questions Plans Approved By: Date Approved <br /> 1 <br /> Contact ♦ . v . G, .�� /9%J r`4, y'_<-x7... f <br /> l <br /> cc,� I-1 Private Sewage Consultant L] Plumbing Consultant ❑ Environmental Health <br /> [-. County ❑ Local PI ❑ Facilities Need Analysis Section <br /> UW-SSWMP 1 Plumber Department of Agriculture <br /> Du nR-s8D-6099 OR 01/85) i Owner 1 Other <br />