Laserfiche WebLink
CITY OF ORONO � 6122494616 04/28/00 08:27 � :03/04 N0:518 <br /> �i� ' <br /> �I/'i� ��i�c� <br /> Please check one: Ncw�2'� Addition <br /> JOII STT� /`�l'� ��� �r'��� ,���� <br /> Owner's N�ame_�,��;� /�i�CG����� TelephoneNumber �/���- �/��� <br /> Mailing A�iaress �� l yG ��� s��i ll��e� �c� � � <br /> Sprinkler Contracto�9 Name jl����,��<T��i� ������c;Telephone Number .�',r'/-��2� <br /> ContaGt Person ��� ���,.,� <br /> Mailin�Address �G� .��X ��'li� �lii�ry�l , ,���,�"��1�,� _ . <br /> '4VA,�R,SLTP��,X <br /> Lake Well � City <br /> ��,..��E.L��Y�?���.� <br /> AVB P VB _� <br /> Ycar of <br /> I��k.� 1�14d�1 M,1nuf�cture � <br /> Sprinklers ,�rr���� �.�'�-= /�i�5' � ` <br /> — -- --- - —' TOTAL <br /> ��ITI.IC CA��CU�.A'�,Q� Design Data: <br /> Area of Application: �� c��� c� Sq. Ft. <br /> Cover�ge per Sprinkler: _ � Sq. Ft. <br /> No. of Sprinklers; __ �� <br /> Total WaterRequired: �,-� Fvut�.;.�,�/r o� 2.c:s:�-., GPM <br /> ' d <br /> � <�Z Za-�+<S "' �G��j ��CE,�,,LL=�'G� G'L�G� C'�oG C�� <br /> P���C F�F���.'��LY ����, r��� ��.�� ,s c>Fti> <br /> 1. Permit Fee $ 3�.fl� - <br /> 2. StRte Sur�harR� � .5p _ <br /> 3. �il-�n.Fee $ 1,50 <br /> 4. TOTAL PERMIT FEF. (Add lines 1-3 above) $ <br /> 1'he undersigned hereby applies to the City for issuanco of a Sprinkler System Permit, agrees to do <br /> all work in strict accordance with the ordina.nces of the City and State regulations, and certifies that <br /> all stateR�ents� made on this application are complete, true and correct. <br /> /'�9���,.��/ � �.,.�. , <br /> � � <br /> Applicant _ Da�e �'� <br /> r+�1��*i�*M�MM*�Y�IM*�r�r��**#***�*�#*�#**M*tM*���1�*+�#��ts�v**��►*s���#�s�*�t�*4�*M+►**t*w <br /> . <br /> Approved Approved with Corrections Denied <br /> Reviewed by: ` <br /> � G' 1 �'i�GC:�� _ � gate �-��- f�L <br />