HomeMy WebLinkAbout002-1059-80-000 (2)Wisconsin Department of Industry,
'LB-1 INSPECTION REPORT 6�j-� Labor & Human Relations
Safety & Buildings Division
S� � Bureau of Plumbing
'dai of Premises
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Date
Plan I.D. No.
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County
Sanitary Permit
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Journeyman Plumber
Address
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Chippewa Falls, WI 54729
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Discussedw
( )See Attached.
')ILHR-5BB-6192 (R.10/82) Signature oT Dist.n i e asp Sp is
Inspector Local Inspector Plumber or Responsib Party ner
St. Croix County Planning and Zoning
Detail Sanitary° [nfortttatioll
Computer #: 002-1059-80-000 Sub/Plat: 40 acres Section: 24
Parcel #: 24 29.16.367 Lot: TNIRNG: T29N R16W
Municipality: Baldwin, Town of CSM: 114 114: SE 1/4 SE 114
Owner: Kosch, Steven 2684 Cty Rd D Woodville, WI 54028
State Permit: 338847 Issued: 04/1211999 POWTS Dispersal: Non -Pressurized In -ground Permit: Replacement
County Permit: 0 Installed: 10/01/1999 POWTS Detail: Bed- Seepage Bedrooms: 0 WI Fund:
POWTS Pretreatment: NA
Tijesrlay. April 16, 2013 at 10:58:45 AAt
Page I nf' l
Notes
Issuer/Inspector As Built Plumber Other Requirements Additional Notes
Rod Eslinger No Stang, Joe see 2011 pumping report - finally!
Kevin Grabau Signed Off: Yes
Maintenance Notification
Scheduled Pump Date Pumped Notification
9/30/2002 7/18/2011 04/20/2006
7/18/2014
Money Owed
$0.00
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