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State of f Wisconsin \ DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH
MAIL ADDRESS: P. O. BOX 309
}~4;Y'e*rts MADISON, WISCONSIN 33701
IN REPLY PLEASE REFER TO:
S E C T I O N OF P L U M B I N G
AND FIRE PROTECTION SYSTEMS
Pall Cwal Y c, 7"!'?!
Plan Identification No.
Dear Sir:
Suiwrioir Service C, e n - S 4 t rt%$
Re:
TZ T shtin Of MY• V1 - St. Croix Cotmty
This is to acknowledge receipt of your plans and specifications for the above-
indicated project. When referring to this plan in the future, it will be absolutely
necessary to utilize the plan identification number assigned to the project. The
spaces below indicate if proper fees have been submitted or if more information is
required. Providing plan review is not completed within thirty (30) days, a permit
to start construction may be issued if requested. See Section H 62.25, Wisconsin
Administrative Code, for limitations in reference to permits to start construction.
Preliminary plan review for determination of fees does not hold the department
liable in the event additional fees may be required upon complete plan review.
Preliminary review indicates the plan review
Fee required is
Fee received is $ Ed-Plan accepted for review.
Fee is being returned because of II Overpayment ❑ underpayment.
Providing one of the two categories above is checked, please remit correct
total fee in one payment. Indicate plan identification number on remittance.
No fee has been remitted. Plans submitted with no fees will be held in
abeyance until remittance is received. Indicate plan identification
number on remittance.
Additional information required. See attached Plb. 100. The permit to
start construction will not be issued until 30 days after requested
information is received and accepted.
Q Plans being returned. See attached Plb. 100.
Sincerely,
amen A. Sarg
Chief
JAS:fjs
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