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< — ` 61�cI^5415^ Jhd.T:•'L�::�C: 4'�5 F'G1^ C�CT �_ "�'�+ �=r�:��� <br /> . <br /> K t�i�4� 4�fo 0�4 <br /> �x}�TE�_T'YI��� <br /> Wct � Dry "_ ���&� Y PrcAction <br /> 'Y��� c�f Orific� Temp�rature <br /> �. , _.. M�ke__.,�,��..���f ture �1T�.�.,..._..��Il��..���._., <br /> � ..r.. ._ _._�...._ _ __ <br /> � iTc►{�M. �,so9 SJL _ (��qT2,_.....__ 1�,�. . � � -___y_..�._��� <br /> .�.�_�._--- - - -�..�.....w ^_....__. . <br /> TOTAL _ _ . _ _ --- <br /> -_._,,. ,��rm D�v�r _.._�!laximum.Time tc�..Q�g�'T�cu T�st Pi�e <br /> _ _ _T�_^ Malce.---.���d�l_..��,��________ Min. Sec. <br /> g��.va1v�J -—�-----....._. <br /> ---__ __._____ <br /> ..._. __.�_ _� <br /> �.�.�r�dsat�r �.__._.. ----- <br /> �X�RAULYC CALCUL�►T[O�iS Design Data; <br /> T�ar�aity - - , , .�. T� GPM/Sq. �'t. <br /> Area uf Application� �_ �� Sq. �t. <br /> Caverng� p�r Spr�nkier: _. .__ _.. _ _ .. . Sq. Ft, <br /> No. of Sprsnkl�rs Catcutac�d: _ _ _ <br /> Tatai Water Reyuired: _,. ._.,.Y��_.Y. --- GPM Includir� Hose Stresms <br /> ��41j�'��,CAL�'LATIQN <br /> I, Z.25% of �+�t�a�3 pr.xr.�* or xn Fee (535,0�) <br /> 1� I�ln.40 x .012� $ _�__ .. _ _ . . . <br /> (cor�trsct yri�ej <br /> ?. �tAt�.�u�hds'�e. "`"' Add the State �raildi�xg Code Divisian <br /> Surcharge to each permit. x 4bd5 $ <br /> or $,a{}, whiehever is greaccr (concracc pri��) <br /> ' 3. Po�ta�e ,and Handi� tOnly rn�i}-in �pp�k�atza�s) $ . I.SO. , ._.... <br /> 4, TQTAL PERMTT FF.F (Add lints 1-3 above) $ _---- __-_ <br /> ' GUNTRAC7 PRICE oi!OB COST means zh� actu�l or es;i�,ated dollar amnunt charged fc�r thc pccnnictcd <br /> work inctudin8 maicrials, labar, prpfit, �nQ c�ii�cr f"s�.cd cassg. It is thc an�o�r�t to tae chargnd to thc <br /> custQ�r fpr��work d¢Ae, If a�y t�tuCtidl, Cquipmtrit, labc�r, or installation�►sc furr�ished by the owner, <br /> tena�� or 8tly oiher pac�y th� reasonable market value of such isems must bc $ddcd to tha estSmated cc�sz <br /> ar cnncr�ct pricc for�ermit fcc g�rposcs. In �he event thac there is a dispute an thc amount of thc job cosc, <br /> tt�e City may rcyucst thc submi�si�n of a signed eopy of che aetua� contr�c�. <br /> ��' �c STAT� SLIRCHARGE is .OQQS Of thC C4tltraCl pricc ur.dcr $1,0�0,004 ar 5.50 - whichcver is <br /> greater, �'or valuations ovcr S1,OOO,Dpp G�}1 thc Dcpartmrnt of �nspactional Scrvic�s for the pricc. <br /> Thc und�rsigried h�reby applies t� the City fnr issuance c�f a SprinkJ�r System Pc�rrzYit, ��rtGs <br /> to da all wo�k in strict accord�ncc with tht ordinances of thc Ciry aud r�gulxtior� Qf I��'P�► 1.3, <br /> az�d �ertifies that all slatemcnEs n dc on this �pplication arc comrilrtc, true and carr�ct. <br /> Applicant r ` ! _�_ L7ate !0 �� <br /> �--,._v <br /> *�r�rr�w+���r�rw �wr��r*.�«.w. *++.**w.*�.« »�**�x*r•*x��«w*.�x��*�****�*«»�«*�►+*�.*******+�« <br /> APPr�vtd ` �+ << ��y.e� + � Date �� ������"�� <br />