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O8:G�2i 95 15:23 THE C;I T`r' UF O�OFJO 61�-473-735 t �b3 <br /> 1�� <br /> SY TY+J TY . ' "' <br /> Wet �_ DrY Deluge PreActaon � . ' <br /> . <br /> Year of Ori�ce Tem�erature <br /> M e Mudc Man re Size � au ntitv Ratin� <br /> ri ers <br /> TQTAL <br /> q arm pevice M ximu Time�peratc '�hru Te t Pine_ <br /> Ty�e ake M e1 Min. Sec, <br /> Ala V lv <br /> Flow r <br /> Y ULIC C i,A Aesign DPta; GYM/Sq. Pt, <br /> I7ensity <br /> Area of A.pplicat�on: Sq. Ft, <br /> Coverage per Sprinkler: . _ Sq. Ft. <br /> No. of Sprinklers Calculated: <br /> '1'otal Wal�r�equired: GPM ��ncluding Hose Streams <br /> j�ytMiT ++E CAI.CU AL� TION <br /> 1, 1,25°!o vf Contract Price* or inimu Fee 3S. <br /> /� �6 . oa x ,0125 $ _ /s7 0�— <br /> (contract price) <br /> 2. 'tate bargP. ** Add the State Buildins Code Division <br /> Sur�;hArge to each permit, /���o .o o x .0()OS $ _ ._���._ <br /> 4r $.SU, wt�iciiever is greatcr (concra�c prlce> - <br /> 3, ost.� e a andlin (Ocily mail-in applxcations) $ 1:50 <br /> 4. TU'1'AL PERMIT FEB (Add lines 1-3 ahove) � _. G • <br /> * C(�NTRAC'T PRICE or J0�COST means the actual or estima�ed dollar auiaunt charged for th�e perntitted <br /> work including materials, labor, proTit, and vther fixcd costs, It is thc amount tu be charged to the <br /> customer for thc wock done. If uny material, eyuipment, labor, or installacioe are furnished by the owncr, <br /> tenant nr any other party the re.�sanable market valu� of such itctns must be addcd tv the estimated cost <br /> or contract price for permit fee purpos�s. In the event that there is a disputC un d�e amount c,f the job cost, <br /> the City ntay rcquest thc �ubmission of a signed copy of�hc actual contract. <br /> ** The 5TATF SURCHARG� is .0005 of thc contract price under �1,000.000 or �_SO - whichever is <br /> grealei. For valualioils ovcr $1,0OO,OW call ti�e �epartment of Iuapeetionaf 5crvices for the priu:. <br /> Ttte undersigned hereby applies to the C:ily for �ssuance of a Sprinlcler System Pcrnnit, agrees <br /> to do 8�11 woxk �ti strict aCCordance witlt the ord�nduces c►f the City a�nd regulations af NFPA 13, <br /> and certifies ihat all statements made on this applic:ation are cam�lete, true and eorrect. <br /> C^ na� �.8�i��� <br /> A�����a�� ��.---� <br /> �*********��*�****�*�****���*�*****�****�***,��*******�**�*******���***�***�**� <br /> "C�c�� 0�--�=� '%�y2�— 17ate ��2/� <br /> Approved _ - <br />