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� Jun-18-2001 08:06am From-CITY OF ORONO +9522494616 T-252 P.002/002 F-486 <br /> , � �� <br /> ' � � <br /> Pl�ase check anc: NGw Addition � <br /> JOB STTE - i �� ' <br /> Qwner's Name ; ephane Number . . <br /> -- Tel � - _ ?� ��� <br /> ]�+�a1�1T1�Ad�fe55 L�� �u C'�c! r , � - <br /> � , <br /> Sprinklcr Confiractor's Name �`, _ Telephone Number �,F<; - '� ��, <br /> Cantact Person �e_�S f�r,.;- <br /> MaiIing Address I ���`� � - . <br /> ,�; �, �� �� <br /> �VA���Y <br /> Lakc W�ll�_ City <br /> BAC�E'X�4'W.UE_YYC�. <br /> AVB PVB <br /> ' Year a� <br /> M�k� Model i�.�ztt�ciure Ouentitv <br /> 5prinkiers �, � CD <br /> '"_.)f. _,� (� � j�CJ <br /> �. � TOTAL '�.� <br /> f <br /> HYD1iA"C7�a]'C.CA�LC�.A.Tl'Q.I� Uesign Data: <br /> Area of Application, Sq. Ft. <br /> Coveragc p�r Sprinktcr: Sq. Ft. <br /> No. of Sprinklers: <br /> Total Water Required� GPM <br /> �ER�VIIT'FEE CALCLTLATION <br /> 1. 3�ennit�'ee � 3 5 AO <br /> 2_ �tate Surchar�e $ .50_— <br /> 3_ 1�7ait-Tn_Fea �,,.� 1.50 <br /> A�. TOTAT.P�R'VI�T�'EE (Add lines 1-3 above) $ "�. ' <br /> The undersi�ned hereby applies to the City for is5uance of a Sprinkler System Permit, agrees to da <br /> al!work in strict accord�nce with the ordinances of the Cit�and State regulat�on�s, and eertifies Chat <br /> all siaternents made on this applioatian are compl�te, true and correct. <br /> Applicant � " ° '' '" �2./%. . Date �o <br /> . <br /> :�******�*�r***** �*x�a�*����k* ******x��*�***�*�****�**���***�***+****�******�**�*** <br /> Appcoved /�''��� Approved with Corrections De:ue�_ __ <br /> Reviewed by: - � _� . - <br /> ����"�^�(L�.- �c�r `�'`�'• "�''r� b8te (: i,i _ �� j <br /> . /��JL�f:�.� <br /> �� �� .,c� 5 <br /> � <br />