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Jun-13-2001 09:54a:� From-CITY OF ORONO +g522494616 T-228 P.002/002 F-428 <br /> Please check one: ].Vew � Addition <br /> �OBST"1'E �qS� ���11��55 �- �, <br /> Qwner's Name T��`'� ���� TelephoneNumber I�Z���� ' 13q C7 <br /> M.ailing Address I��S� �����N�S T" I � �� <br /> Spri�nkler Contractor's Name��� �`I D �11�I� Telephone Number� "�{Z7 -3L� 1 <br /> Contact Person � ��/`/�/ �0l�� <br /> Maiiing Address�z8�_ I 4�I �= �� i�� w• ,0� 5�.3v 3 <br /> ATER S PLY <br /> Lake__ Well City� <br /> BAC D � <br /> AVB � PVB� , <br /> ' "Y'ear of <br /> AQake Model Manufacture uanti <br /> Sprinklers. , �1A��2 �t�d-1� 7,On 1,_ 50 <br /> TOTAL <br /> RY'DRAULIC CALC'IJI.ATIOn'S Design Aata: <br /> Area ofApplication: 140� �"' Sq. �'t. <br /> Go�verage per Spriz�kIer: �.. �O Sq. Ft. <br /> No. of Sprinklers: {�PP2A�C,1 b 0 <br /> Total Water R�quired: <br /> � GPNi <br /> pERMIT FEE CALCULATIOv <br /> 1. Permit Fee $ 35.00 <br /> 2. State Surchars�e $ .50 <br /> 3. MaiI-In Fee $ 1.50 <br /> 4. TOTAL PER,1�I'I'F�E (Add lines 1-3 above) $ <br /> The undersigned hereby applies to the City for issuance of a Sprinkler System Permit, a�rees to do <br /> all work in strict accordance with the ordinances of the City and State regulations, and cer[ifies that <br /> all staterrzents made on this application are complete, true and correct_ <br /> Applicant �_ Date � � � � <br /> a�*********���*�*�:�. � �***���x�**���**���*******�**�*#*�:�:��*�*�r*� **�� �******����* <br /> Approved !`"1� Approved with Corrections Denie�l <br /> Reviewed by: . <br /> �� (��,-u- z��� 6 a� c t <br />