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f <br /> 7 <br /> SYSTEM TYPE <br /> Wet Dry Deluge PreAction <br /> Year of Orifice Temperature <br /> Make Model Manufacture Size Quantity Rating_ <br /> �rinklers <br /> TOTAL <br /> Alarm Device Maxunum Time to Operate Thru Test Pipe <br /> Type Make Model Min. Sec. <br /> Alarm Valve/ <br /> Flow Indicator <br /> HYDRAULIC CALCULATIONS Design Data: <br /> Density GPM/Sq. Ft. <br /> Area of Application: Sq. Ft. <br /> Coverage per Sprinkler: Sq. Ft. <br /> No. of Sprinklers Calculated: <br /> Total Water Required: GPM Including Hose Streams <br /> PERMIT FEE CALCLTLATION <br /> 1. 1.25% of Contract Price* or Minimum Fee ($35.00) <br /> x .0125 $ <br /> (contract price) <br /> 2. State Surcharge. ** Add the State Building Code Division <br /> Surcharge to each permit. x .0005 $ <br /> or $.50, whichever is greater (contract price) <br /> ' 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted <br /> work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the <br /> customer for the work done. If any material, equipment, labor, or installation are furnished by the owner, <br /> tenant or any other party the reasonable market value of such items must be added to the estimated cost <br /> or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, <br /> the City may request the submission of a signed copy of the actual contract. <br /> ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is <br /> greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Sprinkler System Permit, agrees <br /> to do all work in strict accordance with the ordinances of the City and regulations of NFPA 13, <br /> and certifies that all statements made on this application are complete, true and correct. <br /> Applicant `�o,,,.G i� ����— Date 3// �/� �f <br /> ****�******�**�*****�***�****x��**��*�*�***********�******���x***x��**�*�****��*� <br /> Approved Date <br />