Laserfiche WebLink
o@/06i2�04 �ED 14:se �AX Qjooaiooa <br /> Sep•DB-ZOOd ar:6Bv� Fron-CITY OF OROND i06Z249d81B T�816 P.noa/oo3 F-T9D <br /> Plcase check one; N�w� Addition Llm�ied� T <br /> ergY eGhnol�BY <br /> system6 Li�e�s�# <br /> J�B SITE �Z� �o7r � f` <br /> Owner`sName /�'�s !�►� Telept►onelVrna�er <br /> Maili�Address 7iZl�l� o ✓l� 7✓. � <br /> SprinklerContracEo�sNasne I�' � Tcicghcv�eNuaaber OS3Z <br /> Cnbtactparsoa � c� <br /> M�;��s A.aa�s6 � I z �� ZtJ ��,�. . N 5 S <br /> �VVA'�'ER$UpPY,'S�' <br /> Lake Well,�,_ Gty <br /> c AYe � pVB �^ IN� �V ►n � �Z�� <br /> Year of <br /> 14Sake Iv[od t ��,�� � <br /> Sprinkiers n <br /> 70TAL <br /> � B�ULIC CULATIONS Design Data: <br /> Are�o€App�ication: DO� S .�t. <br /> Coverage per Spritlkklcr��7��� S g Ft, <br /> No�af Sprinklers� 9 <br /> Tot�l Water R�qttired: h c� .w. GFM <br /> P�RNIIT F'EE CALCXTLATIUN <br /> 1, Permit�e� � $ <br /> Z. �I�I6_SurCb.�r�e <br /> $ .3d <br /> . 3� �M�Y-Yn Fsm <br /> 4. TOTAL PER1ViYT FEE (Add lines 1-3�bov�l ��,� � <br /> The undersigned hcrcby app�ies to the City for issuance of�Sprin]clec Systau pera�it,a.�es td do ' <br /> 811 work iri s�rict accordanec with the ord�nances ofthe Ciry Snd Stnte 1ti0gt1Yah$]3B�arit�eCl'[f fie8 th8�t 1 <br /> ali statements made on this applicatien are complete,true and co�ect, �� <br /> �' - . �� <br /> AppI�GaiII Y.,�r.�.ti.. Vl'l U�JQ�=�. Da�e_ � /c'�t �CJ� <br /> .�- .�...,..,_ -�--- -- <br /> +��i�*�.��+���.x��rr.�r���*����i**�sr��c����+rw��i�**��ww��Rw*�w���r�r��w*t�ki�s�r�rd��er����t��.�� � <br /> Apprar�ed ��^1-� psoved wrich Coxrections �� <br /> �� '' <br /> Rcviawed8y. c��� p� � - + �^ �A �� ; � <br /> , ,; <br /> �r�. CF��� �� � } �5�c� �-. t;�. C. (-►�r c ��� I�� . <br /> Z0 3Jdd �SQNb�X�1SW� 56Z688bT59 bZ �aZ b09Z/60/60 <br />