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fl DILHR <br /> PLAN APPROVAL au of PlumbinSafety and g Division <br /> P.0 Box 7%9 <br /> ❑ General Plumbing Plans Madison, WI 53707 <br /> Private Sewage Plans Telephone: (608)2653815 <br /> oil <br /> FX <br /> t11�'M1"itu <br /> Project Name rr Project Location - Street No. or Legal Description <br /> o Gov'1� �e >< < 9 <br /> County <br /> ❑ City ❑ Village aTown of: D <br /> L1� vete eutr L�vv <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. i he installer shall notify the appropriate inspector when inspections can be <br /> made. <br /> ❑ 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 /> K FOR PRIVATE SEWAGE PLANS: 2- <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 /> q/J7..G0'�✓'L�NLI <br /> James Sargent T/J <br /> Bureau Director <br /> If Questions Plans Approved By: Date Approved: <br /> Contact ♦ � 12L.��t.� � l g-S <br /> cc: OWS ❑ DPS ❑ H&R & Rec. San. Section <br /> County ❑ Local PI ❑ Facilities Need Analysis Section <br /> ❑ L)W-SSWMP ❑ Plumber ❑ Department of Agricultur:- <br /> DILHR-SBD-6099(R.01/84) ❑ Owner 0 Other <br />