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Division of Industry Services - Wisconsin

Division of Industry Services Application for General Plumbing Plan Review and Cross Connection Assembly Registration -Complete all pages- General Plumbing NOTE: Personal information you provide may be used for secondary purposes [Privacy Law s. (1)(m), Stats.]. 1. For pre-scheduling of plumbing plans, use the electronic online request for plumbing plan appointments found at This form is to be used only for mailing or dropping off plans without an appointment. If you are pre-scheduling a revision, email this completed form to: Check our website at for the most current version of this form. We may re-distribute plans to another office if needed to reasonably balance turnaround times. You may monitor the status of your plan at: Desired Appointment Date: Previously Related Transaction #.

8. BUILDING SPECIFIC WATER. Select ONE of the following six options and enter the corresponding diameter or Gallons Per Minute (GPM) and enter fee

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