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2019/01/15 - SANITARY - SAN - Repl Non-Press - SAN-17-55
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2019/01/15 - SANITARY - SAN - Repl Non-Press - SAN-17-55
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Entry Properties
Last modified
3/5/2020 8:43:53 PM
Creation date
1/15/2019 2:33:18 PM
Metadata
Fields
Template:
Property Files v2
Document Date
1/15/2019
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
County Permit Number
SAN-17-55
State Permit Number
594501
Tax ID
34739
Pin Number
07-012-2-40-15-01-5 05-003-025100
Municipality
TOWN OF JACKSON
Owner Name
DANIEL & PAMELA SAIKO
Property Address
3692 MEYERS RD
City
DANBURY
State
WI
Zip
54830
Previous Owners
DANIEL & PAMELA SAIKO
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Hopkins Sand and Gravel <br />27760 State Rd 35 Webster WI 54893 <br />Phone (715) 866-4157 <br />Fax (715) 866-8104 <br />INDEX SHEET <br />PROPERTY OWNER (S) _' c �^ Svt i ko <br />PROJECT NAME = S i <br />PROJECT LOCATION= 34,7d i►� moi,- ev j Rc-i <br />Street Address <br />- - J <br />'/4 '/4 , Section, Town, Range (for POWTS submittals) <br />Jac% 5 C <br />Municipality <br />wNN-[Y4— <br />County <br />CONTENTS PAGE 1: _570�-e COs ✓f <br />PAGE 2: <br />PAGE 3: f�Je f �1A h <br />PAGE 4: <br />PAGE 5: G r! ( c rs.fS _<ee <br />PAGE 6: c. <br />PAGE 7: /l)4 7 cc z w7.r r /A h - --- <br />PAGE 8: <br />PAGE 9: <br />PAGE 10: <br />PAGE 11: <br />PAGE 12: <br />PAGE 13: <br />PAGE 14: <br />PAGE 15: <br />NAME: Richard Hopkins <br />CREDENTIAL NUMBER: 225851 <br />COMP.MANUAL USED—Holding Tanks SBD- 10855-P (N. 03/07; R 01/12) <br />Mound SBD- 10691-P (N.01/01; R. 10/12) <br />In -Ground Sys SBD- 10705-P (N.01/01; R. 10/12) <br />Pressure Sys SBD- 10706-P (N.01101; R. 10/12) <br />SIGNED:�L?�/ 7 <br />DATED: 3- /0' 17 <br />
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