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Apr-07-2003 10:20am From-CITY OF ORONO +9522494616 T-224 P.001/001 F-206 <br /> Please check one: New Addition <br /> JOB SITE /4)06d/) COU/► ni C/vb <br /> Owner's Name (.t/ooc( hi(( C. C, Rrc.k frcdercksoiTelephone Number 95-Z -`17 3 -5&// <br /> Mailing Address (.)0 Ltl oo cl ti (I 2 ck.+ /146., 553 ? <br /> Sprinkler Contractor's Name 1-Q i cL SCap eS Un I i I-ed Telephone Number SrOZ f 2 3- le('53 <br /> Contact Person -77;,-, /fu b 6 arc( <br /> Mailing Address_l,2U/ fir.'es I , L,rnca/bl /j/2 aJ5/2_ <br /> WATER SUPPLY <br /> Lake Well 2K City <br /> BACKFLOW DEVICE <br /> AVE _ PVB <br /> Year of <br /> Make Model Manufacture' Quantity <br /> Sprinklers 7uco $SSI-y(D-3;?(t ,2001 (' 75- <br /> Tor 0 <br /> 5Toro ;8'85 --9(e-8W ,.x&22 /55 <br /> � '7ory KS-5 - /6 53(e o2002 SIS <br /> TOTAL /095 <br /> HYDRAULJC CALCULATIONS Design Data: <br /> Area of Application: X15- 416' A c R t S Sq. lit <br /> Coverage per Sprinkler: / .250 Sq. Ft <br /> No. of Sprinklers: 1011_5- <br /> Total <br /> 0`1STotal Water Required: AZ GPM <br /> PERMIT FEE CALCULATION <br /> 1. Permit Fee $_ 35.00 <br /> 2. State Surch $ .50 <br /> 3. Mail-In Fec $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3 7 on <br /> The undersigned hereby applies to the City for issuance of a Sprinkler System Permit, agrees to do <br /> all work in strict accordance with the ordinances of the City and State regulations, and certifies that <br /> all statements made on this application are complete, true and correct. <br /> Applicant Date `/ x,/03 <br /> ********************** *x **** ** ***x ***** * * ***** *****44 <br /> Approved Approved with Corrections Denied <br /> Reviewed b - <br /> y' 5—\-3— <br /> , !' Date <br /> Need <br /> „0,\ -,m(�ec)r".pry co M \� c) - <br />