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SB-198
`a7.2 MI no r, .
Rev. 5/77
Y _ i t DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS
t �p. SAFETY & BUILDINGS DIVISION
1 , P.O. BOX 7946
MADISON, WISCONSIN 53707
PERMIT TO START CONSTRUCTION
FEE $35.00 (per bldg.) IN ADDITION TO EXAMINATION /INSPECTION FEES
Location of Project: p^
Owner: - t�' 1(.J+�: 1. lL ."a3 t {. E
Street: ,Yk)JL) 7 //A }1` a. ps f Plan File Number
City: -1 K t > }° Date Plans Rec'd
County: �- tti.� N F t. {
Occupancy: Wit`. tr V 1
We, the undersigned, request to begin footing and foundation work prior to approval of the plans.
Complete plans have been submitted to the Department of Industry, Labor & Human Relations, Division of Industrial Safety and
Buildings, and all information requested by Code Ind. 50.12 has been included with the submittal.
We have reviewed the specific code requirements for the building or structure including, but not limited to, Ind. 54.01, Ind. 55.02,
Ind. 56.02, Ind. 57.01 (construction, height and allowable area), Ind. 50.12, Ind. 51.03, Ind. 53, Ind. 55.05 and Ind. 54.50, when
applicable, and have shown compliance on the drawings.
We agree to make any changes required after the plans have been reviewed and to remove or replace noncode complying parts of
the foundation and /or footings.
We agree to proceed with the footings and foundation only and will not continue with the remainder of the building or structure
until approval has been received.
Owner's Signature Date Accepted g Date
Name: Dept. of Ind., Labor & Human Relations
Div. of Industrial Safety & Buildings
Address:
Not Accepted Because
/ ` Plans will be examined within the next
Designer's Signature Date days.
Name:. "1
NOTE: Footing and foundation plans submitted prior to
Address: 1 `'`, # ' 3 final building plans will not be accepted for this permit.
E a t °j l .) f"\ l °, l
. ` 1
BLDG. INSPECTOR'S COPY