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SY T�M TY E <br /> Wet �_ Dry Ueluge PreAction <br /> Year of Orifice Temperature <br /> M ke Mcr�lcl Manufactu�-e Size O ancitv R t�in�, <br /> S�ri clers G�. �' C��i�r� i�'7`�4� l�. �,�. �1� I Co0 <br /> TOTAL <br /> A xnn Device M�ximum Time to Operate '�hru Te�e_ <br /> Ty� ake Mo el Mi Sec. <br /> Ala Valv <br /> Flow ndicat r �( a�v t� ��!��- " � - <br /> HYDI�AULIC CALC LATi�N5 nesign L�Ata: <br /> Density Z ,��� �=�.� ,.-�'> UYM/Sq. Ft. <br /> Area of Applicat�on: � 54• F�. <br /> Covez'age per Sprinkler: Z o s.� . . Sq. Ft. <br /> No. of Srrinklers Calculated; <br /> '1'otal Water�equired: ��4 , c� GPM lncluding Hose Streams <br /> �+T i S �c7'>5�P�L.� ��U �1-�,r-*� 1Z.— W O S �0 2. �CI iw+ �N _ �4 F-�,`1 <br /> PERMI �EE CAI.CU ATION <br /> 1, 1,25% ot Con ract Price* or 1V�inimu�a� Fee l 3S. �� <br /> �� co x .0125 $ I Z. -r,,� <br /> (contract price) <br /> 2. State urcbar�e. �`* Add �1�e State Building Cvde Division � <br /> Sun.harge tn each permit, i c�a c c�� x .OU05 $ _ , �J _ I <br /> or $.5�, wfiictiever is greater (concra�t price) <br /> 3. kosta�e att Handlin� (Oi�ly mail-in appli.catiotisj $ 1:50 <br /> 4. TU'1'AL PERMIT FEB (Add lines 1-3 ahove) $ _ I '�� 6 5° <br /> * CONTRAC'T PR10E or JQB COST rneans the actuat or esiimated d�llar auiaunt charged for the permitted <br /> work including materials, labor, profit, and other fixed costs, It is thc amount tu be charged to the <br /> customer for thc work done. If xny inaterial, equipme��t, labor, or installatinn are fumished Uy the owncr, <br /> tenant nr any other party the re:ascmahle market value of such itcci�g must be addeci t� the estimated rnst <br /> or contracc price for permit fee purposcs. In the event that there is a disputc un the amount c�f ttie_job cost, <br /> the Gity may request thc subu�ission of a signed copy of chc actual coruract. <br /> +* The STATF S[1RCHARG� is .0005 of thc contract price under 51,000,0�4 or �_SQ - whichever is <br /> greatei. FoY Ydlualiolts ovcr $1,00O,OOU cali tSic nepartment of Iuapee�tonaf Scrviccs for che pricc. <br /> The undersigned hereby applies to the Cily for issuance of a Sprinkler System Pcrmit, agrees <br /> to do �11 work iz� stri t aCCordance witlt the ordind�ices �f the Gity and regulations of NFFA 13, <br /> and Certifi a statements made o this application are complete, true and orrec . <br /> � <br /> Applican <br /> Date � �' <br /> ****** _ ��:�********�: *a�*�:�r�****�*******�****�******�*�******+**»��r�r***�r***�:**� <br /> Approved `r�..�-�I�,,.-� Date _� a/ �t / 9 4" <br /> � l � f'"t- --,� ; , , r .' <br /> �U � �7(;_M r'D �- �-��� _ ( ' � ' �� . / <br /> .Y ' 'rJ �,,T�. � i <br /> 1 � , . �i��_����� ��� ,_�>. �... -- �- �i. . , . . . . <br />