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! FRIhT FAX NO. Oct. 31 1999 11:2epm P1 <br /> :u1-13-2000 02:ilom ;ren-V Y G- 020NO +332?4WIo 7`443 D M/J03 =-143 <br /> P!.ease check one. Nene Addition Curl C- 7 e <o lz <br /> O mees Name`B�_j _ D e b b,'e, f d , 0 S T eiephoad Number <br /> MaIis Address 1030 T 4, 1t O ru n IJV!N, rS-314 <br /> Sprinls er Contractor's Name c 2 e r�e Telephone Nmmber CI_Z- <br /> Contact Persoa Sti e G 4 <br /> lading Address C6 O.t 4C d 4r „;g, 'D/-. <br /> J <br /> WATER SUPPLY <br /> Lake 2_ Well City <br /> BA- w MaCE <br /> AVB VVBB c4eck v,lv-c '�� 14,tc sr,<e., <br /> Year of <br /> Sgriaklers yL h ,1c. --wau <br /> Z 2 <br /> V 02f F Z60c, <br /> a <br /> (J'd c ° ✓ r z (J UO CJro <br /> ToT.kL .1 <br /> HYDRAMMr, CAL,OU,A,.TIONS Design Data: <br /> Area of Application: 000 Sq, Ft. <br /> Coverage per Sprinkler: '?60 9'J' 165- Sq. Ft. <br /> No. of sprLuylers: /6 / _ <br /> Total Water Required: w_ /eGPv1 <br /> RpBl T FEE CALC'LTLA ON <br /> I. Permit Fee 3 35.00 <br /> 2. State Surchar�xe $ 50- <br /> 3. Mall-Inih <br /> 4. TOTAL.P DT FEE(Add lines 1-3 above) S �. <br /> The underaigned hereby applies to the City far issuaaoe of a Sprinkler System Permit, agrees to de <br /> all work in strict accordance with the ordinances of the City and State regulations, and certitu that <br /> all statements made on this application are corr_sp!ete, true and correct. <br /> Applicant ?ate 7 is p U <br /> i+YW�MwWW4W�wWW *wWwWq*MWbWMiKWM*# F�i�w+r*wwM���+rwWwruwtiwpefwi**��,�wt+�W*w#»**** <br /> Approved A proved with Corrections <br /> Reviewed by: <br /> Date 7-11-00 <br /> ' ' fUe �4aldO( nal PeRw►►`� <br />