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O DILHR PLAN APPROVAL Safety and Buildings Division <br /> Bureau of Plumbing <br /> P.O Box 7969 <br /> ❑, General Plumbing Plans Madison,WI 53707 <br /> X, Private Sewage Plans Telephone: (608)266-3815 <br /> u <br /> 4 <br /> i <br /> Project Name Project Location - Street No. or Legal Description <br /> _.0 <br /> ounty F <br /> J City LlVillage Town of: y 'rv� (� 77— <br /> t E_ <br /> c <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 /> FOR PRIVATE SEWAGE PLANS: (1) (2) 3a) (3b) (4a) (4b) (6) (7) <br /> This approval will expire two years from the ate 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 /> li , I!✓, A't-`. it _ ":'t.J <br /> ^1 ... ,. -t, if <br /> By: <br /> James Sargent <br /> Bureau Director <br /> If Questions Plans Approved By: Date A roved: <br /> Contact ♦ C-" <br /> cc: Private SesJage Consultant ❑ Plumbing Consultant ❑ Environmental Health <br /> County ❑ Local PI ❑ Facilities Need Analysis Section <br /> 1J UW-SSWMP ❑ Plumber ❑ Department of Agriculture <br /> DI1 HR-SBD-6099(R.01/85) ❑ Owner ❑ Other <br />