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CITY-OF ORONO 6124730510 10/22/97 16:39 [5 :02/02 NO:412 <br /> Please check one: New Addition <br /> joB SITE <br /> Owner's Name Telephone Numbs Ito- <br /> 9 <br /> Mafling Address_2S2S <br /> SpriWder Contrac is Nam\ Q� <br /> Telephone Number S1�- IZ <br /> Contest Persaa .rte c <br /> MailW Addrmss <br /> Lake Well City <br /> BACT�OW ,VYw C�+' <br /> AVB PVB <br /> Make Year of <br /> Wad <br /> Sariaklers U TnSr <br /> TOTAL <br /> MEAULIC A►TIONS Design Data: <br /> Area of Application-, L 1,Sc�0 SW <br /> Sq. Ft. <br /> Coverage per Sprinkler: 3 —3 , g Sq. Ft. <br /> No. of Sprinklers; _ GO -In \ <br /> Total Water Required: - GPM <br /> PERMrr IEEE-_C-ATMIATION <br /> I. Permit Fee \ $ 3 .00 <br /> x• Ssata.�irctxara � $ <br /> 3. MaJI-In-_Fee -50 <br /> $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ (S0 <br /> The undersigned hereby applies to the City for issuance of a Sprinkler System Permit, agrees to <br /> do all work in strict accordance with the ordinances of the City and State regulations, and certifies <br /> that all statements made on this application are complete, true and correct. <br /> Applicant Date D <br /> Approved v� Approved with Corrections Denied <br /> Reviewed by: - <br /> Date ./0a?z?7- <br />