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. <br /> 4 State of Wisconsin \ Department of Industry, Labor and Human Relations <br /> PRIVATE SEWAGE PLAN APPROVAL SAFETY& BUILDINGS DIVISION <br /> Office of Division Codes and Application <br /> 201 East Washington Avenue <br /> P.O. Box 7969 <br /> Madison, Wisconsin 53707 <br /> PARKER & ASSOCIATES, INC. Owner: RICHARD POULSEN <br /> 6601 GRAND TETON PLAZA 5168 REYNOLDS AVE. <br /> MADISON, WI 53719 WAUNAKEE, WI 53597 <br /> RE: Plan Number: S88-04825 R Date Approved: November 11 , 1988 <br /> Gallons Per Day: 450 Date Received: June 8, 1988 <br /> Project Name: POULSEN, RICHARD Location: 5225 CTH KP <br /> Town of BERRY County: DANE <br /> Fees Received (Priority Review) : 250.00 <br /> The plumbing plans and specifications for this project have been reviewed for <br /> compliance with applicable code requirements. This approval is based on Chapter <br /> 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are <br /> stamped 'conditionally approved ' . This approval is contingent upon compliance with <br /> any stipulations shown on the plans. All items that are noted must be corrected. <br /> All permits required by the city, village, township or county shall be obtained <br /> prior to construction. The licensed plumber responsible for this installation <br /> shall keep one set of plans with the department's approval stamp at the <br /> construction site. The installer shall notify the appropriate inspector when <br /> inspections can be made. <br /> This approval will expire two years from the date approved or if a sanitary <br /> permit is obtained, it will expire the day the initial sanitary permit expires. <br /> The Section of Private Sewage has reviewed these plans for private sewage system code <br /> requirements only. These plans have not been reviewed for the code requirements <br /> set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the <br /> Wisconsin Administrative code. <br /> This approval is for the following components only: <br /> - REPLACEMENT PETITION <br /> - REPLACEMENT IN-GROUND PRESSURE SYSTEM <br /> - REVISED IN-GROUND PRESSURE SYSTEM <br /> NOTE: The approved changes will become an addendum to the plans previously approved. <br /> All other portions of the installation shall conform to the original approval . <br /> SBD-6423(R.08/88) <br /> U n `\ N,1 <br /> ;� b o �, - v t--, ,�\ fir 1 <br /> N v <br /> II o �, �, { rn U I <br /> i <br /> I\ N t`, �' � l <br /> 6 �(\ <br /> N. <br /> I <br />