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)0)• - SDR]S - Ptti NAT[RtAL ASTM 0-178 -ALL GASR[TtD JOINTS ASTM_)212
ALL CASCITS: ASTM F-477. PIPE WILL Bt BtDO[D IN FILL SAND OR NO.B,9 OR
11 STONE, TO A DEFTR Of 6 INCRtS. ALL INSTALLATIONS SBALL It "OPEN
TR[NCN'• INSPECTED BEFORE BACtfILLINC WITH SAND OR STOMP TO i INCRIS
ABOIE THE PIPE.
NO FOOTING OR FOUNDATION DRAINS OR OTHER SOURCES Of GROUND WATER OR
STORM WATER SHALL BE PERMITTED TO ENTER THE PUBLIC StWtR. SEYtR
INSPECTION SROULD RE REQUESTED AT 844-9200 1 to ♦ HOURS IN ADVANCE
I MATE READ TRE CONDITIONS OF THIS PERMIT AND AGREE TO ACCEPT THE
RESPONSIBILITY FOR ALL WORE DONE UNDER THIS PERMIT.
SIGNED: x
(OWNER'S NAME) kCOWTRAACCTOR
INSPECTION FEE: $25.00 raid: �<
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TO -tit flim WITH APPLICATION:
' two Copies of foundation plan
' two copies of plot plan
State Foundation Palaase
for coeskrc:a; Projects !`��/��jf� ./
CONDITIONS:
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