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__ _.- __ <br /> -_ <br /> __ _ _ _ <br /> SYSTEM TYPE <br /> Wet Dry Deluge PreAction <br /> Year of Orifice Temperature <br /> Make Model Manufacture Size Quantity R�tine <br /> Sprinklers <br /> TOTAL <br /> Alarm Device M imu Time to Operate Thru Test Pipe_ <br /> Type Make Model Min. Sec, <br /> Alarm Valve/ <br /> Flow Ir dicator <br /> - <br /> HYDRAULIC CALCULATIONS Design Data: <br /> Density GPM/Sq. Ft. <br /> �, Area of Application: Sq. Ft, <br /> YYI9, Coverage per Sprinkler: Sq, Ft. <br /> No. of Sprinklers Calculated: <br /> Total Water Required: GPM Including Hose Streams <br /> PERMIT FEE CALCULATION <br /> 1. 1,25% of Contract Price* orVMinimum Fee ($3S. Ol g g' <br /> /7,a7() x .0125 &15 <br /> (contract price) <br /> 2. ,State Surcharge. ** Add the State Building Code Division <br /> Surcharge to each permit, x .0005 $ _ 6\• fIL <br /> or $.50, whichever is greater (contract price) <br /> 3. Postage and Handling (Only mail-In applications) $ 1.50 <br /> 4. TO.1'AL PERMIT FEE (Add lines 1-3 above) $ _ c7/21 •°.f <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 3.50 - 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 ce ' - ' : i.tements made on this application are complete, true and correct. <br /> Appli : a .1 ' 4411116. I Date 4.) <br /> )9,_c\ <br /> ***** *****************':************************************************** <br /> Approved O-- - Date y/2?/77 <br />