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DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS
SAFETY& 8U1!DWGS DIVISION FILE NO. E— ��
201 E.WASHiNGTON AVE. PLAN NO. = ' ` z �
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P.O_ Box 7969 P j f-f . . �
MADISON,WISCONSIN 53707 VOL. " r 1
PLAN EXAMINATlON LETTER �NSP. FEES PAID � f:a I-
OATE: � �� -
Note: This Preprinted Plan Review letter is being used at the discre-
tion of the plan examiner to expedite the plan review. This form I
serves as the review correspondence.
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�_Irir�r�-,S � �i,'w i�;�>
Plans have been reviewed.,by rhe Depar,mert of Industry, Labor and Human R�lations for compliance with important code requir2ments.
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IThe_ ' < plans are:
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� � COND. APPROVED � WITHHELD � NOT A?PROVED
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! If the plans are stamped "CONDITIONALLY APPROVED" construction may proceed, but all items that are required to be changed by this letter must be
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corrected before commencing that part of the work.
I You are hereby advised that the owner as defined in Chapter 101.0112)Ii) of the Wisconsin State Statutes is responsible for all code requirements not specifi-
i cally cited herein.Code requirements are set f�rth in Chapters 50 through 64 of the rules of the department.
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I The building will be inspected during and after construction by a deputy of this Depariment to insure complete compliance with Wisconsin Codes.The owner
� ma notif the state buildin
� Y Y g inspector listed below if a final inspection is desired before taking possession of the building.
I
� IND.50.15 EDVIDENCE OF APPROVAL. The architect,profession�l engineer,designer,builder or owner shall keep at the t?uilding site,one set of plans bearing
j the stamp of approval.
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( THIS BUILDING HRS BEEN CLASSIFIED AS NO. `� CONSTRUCTION. �_ISPRINKLERED �_IUNLI�/IITED AREA
I COMMENTS .
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Plans for the f�llowing shall be submitted to this office and approved prior to construction of that component.
❑ Trusses ❑ Precast Concrete n Heat& Vent Systems �_� illumination �_�
Area Code
State Inspector—Reg„ — ��4��j�l Phone���� _ �_� ' .; `r 1'
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Local Inspector— '�r� "
� BY: �' y `-�/.x..•�>
PLAN EXAMINER , }j
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DILHR SBD-5686(R.11/80)
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OWNER ,L� (����� (����-_.�_ � ADDRESS �Z,30� 230st ?�OW U^�c.+-��,.
DATE "�"��L PERrIIT # U `�¢- USE �� C <r-w-R�'t��,,_,�.� , . .,,. '=�j1'-c..,��.�
-��c� �v G�.� �� ��; ,;ti ..-�`. �c.� Woik c o ns i s t s o f �..��.�.— �-.�,.�-
� GENERAL CONTRACTO R .�._ / :'-- �:.:��t.'f�.� ;4. ' <--�, �
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MASON CONTRACTOR ZONE
Width of lot :�,'' , ;� � ' � �
DAT� % <: �-�, c_=t� c. ZNSP�CTIONS
� REM�RKS .,
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Fro�t of lot ��ING ADDRESS
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