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_ ,, F � , <br /> ------- r::: <br /> Au�-ZZ-2001 43:39pm ' From-CITY OF ORONO ; ! +9522494616 T-T0� P.002/D02 F-6T4 <br /> ' ; I q <br /> � ( ��_ ` G� ����a�� <br /> � �� ��- � � �� � !� i� <br /> _ -� � � � , : .j <br /> . �� k: '�� �1 ` ���j�� / <br /> �lease check one: New x Additi�n_ — <br /> 4, w���; ;c.:� <br /> Jt7t3 $Tl'E � � `l� C- .,I 1�� l�r�'�17� <br /> ti�1 l�l.T 'Y'elephone Number g S 2- �7 3�52�o� <br /> Owner's Name `���{!� - � � � . <br /> Mailing Address � � � __ . . <br /> S rinkler Contractor's Name A �/� C r _.������T�lephoneNwmber C�► Z- �'�(��3 3a0 <br /> P <br /> Contaet Person /-�i�-- � � � � ' <br /> Mailir►g Address � `�S� <br /> ��-S � ��- �� . <br /> ��Lake pF � Well_,� �1�Y. - ,r i <br /> ... p ,� <br /> ��,C LO�EV_� , � � <br /> . A'VB P'� � Year of <br /> 4 Nl�del uanti <br /> �� 1vlanufact� �•— <br /> � ;r�.P Y��.�—. `�4'"-,—�--- <br /> Sprinklers � _ � •- :��_ �...crz�i <br /> �At N � <br /> � � � T�TAI., S 3 <br /> _r. . <br /> HY'X3��,IC CALCLI�.,,_�TIO� Design r)�ta: gq. Ft. <br /> � 2 � Area of Application: ���.._ $q �'t� <br /> � Covera�e per Sprinkler: ,_,J....� �3 <br /> /� 9 No. of Sprinklers: ,��.-. — �'� GPM <br /> � � `" "� Total l�lTater lt�quired: _, _— <br /> ��- ° .�" ` ---- <br /> ��:� �� ;�- <br /> , <br /> PFRMT'X' FEE �AL�YTT�ATY�1N $ 35.00 <br /> 1. Permit�'ee $ � <br /> 2. State Surchar�� . $--���=' <br /> 3. Niai1-,I..n�e� $ <br /> �. �pT�L p�,�Li1�IYT FEE (Add lines 1�-3 above) . <br /> � ndersi ned hereby�pplies to the City for issuance of a Sprinkle re�ulations,a d certi f es that <br /> The u � <br /> aU work in strict accordance with t he ar din a n c e s o f t h e C rt y a n d S t a t g <br /> all statements made on this appiication are complete, true and correct. <br /> � , Date �- .�0-6 1 <br /> Applicant J r " s <br /> *�******�x�*****��*�****�**�*�******�****�*�*:�*�m�***w�*****���******��*:�**�x***�*�r <br /> ,' <br /> !'; p,Fproved with Corr�ctions ���� <br /> Appro�red <br /> Reviewed by: , , I � / Date. . . , ; <br /> r . � �� � � � -- �------.�'— <br /> y� '..tt .; �:, �.._ , j' �� . <br /> � / �� <br /> X n�',�� ' �',� ef ", ^ '�-i�!' � Q �^��p `..,�� <br /> �� � 03-27-U1 0� : 1���Pb4 Fp2 <br /> �r �a <br />