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a.i� i vi viw�vv � VIGIG47'+Ot� VO/ IQJ77 VO..]! � .UJ/VJ fYV. IC7� <br /> �/r '��' <br /> Pi�e Chtck one: New__�__ Additian <br /> JUB�1TF._.�L� G P.TS�L C�P�Z f� __.._. <br /> Ownar's I��tnc Go (..� Telephone Number_ �`�'Q-•/�Z <br /> IvI 'aLingAddress �_t?.212.L5 - _ �%�..� -5.�3,��. <br /> 5ps�ntcler Ca�trn�ctar's h�ame �. Tettp�onc l�umbe� (.i12��(/--113$ <br /> Catt�ct Per�n�, [.e�,��� _______ <br /> , _.._. ,_.._ <br /> Mailing AddnDss .j'L�2..�._,G���_1 �, � <br /> —���--�- �, �,, �V��G <br /> ��g su rT 553�� <br /> La�ce� wcli. �ic� <br /> �d�'►FZe.��Y��.YtS�E <br /> Av� �va <br /> � Year uf <br /> :�oks ��asi�i 14�cu�f�u.� S2u�c�tai�t <br /> Spri.nklers - -- - ___._ w. <br /> - -- ._....___ 7�UTAI. -- <br /> Fh'�JBA�I�r3��Ab�3IL�,'T1i?l!I� Design Data: <br /> A,reu of Appi,ication: - .�,...._.._ Sq Ft, <br /> Cavera$e per Sprinkter: __ 5�. Fc. <br /> No. af Sprinittats: <br /> Tot�i Water Required� __ T Gk'M <br /> y <br /> 1. Pernlit�ee � _ 35.Q0 <br /> Z. SLaS�.�ltt�t�� $ .�4 <br /> 3. Dr1�il:1nF..� ��_� <br /> 4, TQTA�.�RMY'T FEE (Add iines 1�3 abovc) ��. <br /> Ti1C uadersigned hcreby appties to the Lity for issuancc af s Spririkler System Perrnit, agrees to dn <br /> elI wark in strict accordance with thc ordin�nces of thc City an� Stace re�ulations, and CeCtifiGs tha? <br /> el{ statements made on this�ppiicatiacl are comple , nnd c�rrect. <br /> �PIir.e�nt_... . �__� Uate_... � <br /> �4sl41�Fii*1�#+**+h+*�Y�rM**wM+k*w�R*r��wr*t�+*P�3�9�wwwt�*#**�.*f*�r*,�**rsa�tt�F+�«wM+rw��k*+Y� <br /> Approved _ Appraved with Correctionx� _ _ Tlenied <br /> Rtviewed by: � � � � <br /> �t� - a�y�j9 <br /> �` K�p �� � s�►� ,,��-���S ��� �-y fi��� 5t�-����� �Y�,� �( �o� � ��� <br /> , � <br /> Co�,�./� �t1�,.� s��s�,�J �o�i a-c� �� �i�s���u��rJ �� �Y;x�i,Q�,� <br />