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_.._ <br /> 41a;r17-200? 07:28am From-CITY OF ORONO � ���22494616 T-258 P.003/003 F-812 <br /> n�1 n � �; � ,�� <br /> . �-,`�' . �� � �C.����� <br /> �/ � �, �� 1 <br /> � �� <br /> Please check one: New /1 Addition � � '� <br /> . � � I <br /> aoB�rrE 3i�� �G�rne.�iz�,�N �d ��� , rr�� ,, 1 <br /> , Ov�mer's Name �����Iqr� �ElSO r� Telephonel�huuber �D/a- 7/U- //75 <br /> �a�aar� 3i� :(�ne.S I�+�� � d Ro��� � ►�� <br /> . Sprinkler Contractor's Name �- VJ�I � C Tdephon�e Number��'�{/�%�'��1:�1 <br /> w <br /> Conta.ci Person ��AV E I�F C��i m <br /> Ma�ing Address��1�'J �►���t 21f�� S� �� � I��PL£ �l��►'��ti, r�'j r�l� 'S 535`i <br /> � �ATE�2 S'CJ"PPLY <br /> Lake Well � City— <br /> �ACKFLOW riE'VT�: <br /> A'VB � PVB �-- <br />' ' Yea�r of <br /> 1V1ake Madel Manufacture uant' <br /> Sprinklers unlr�2 -ad 01v� /f£Av,S o�0�2 `�� <br /> �J i RU r� - � D ao v�0 <br /> 7COT'AI. 3 <br /> �Y'1��2AIILIC CALCIILATxdNS Design Dat�: � . <br /> Axea of Application: /�PF�rd k, ��,��v Sq. Ft. <br /> Caverage per Sprinkler:y�rs___ 7 o u Sq. Ft. <br /> No. of Sprinklers: tz��-�� 43 s <br /> Total W ater Required: _ i.5 N.�', 5u�t 2.i CrPM <br /> � <br /> PERNIIT FEE CAx.�'i�.A1"YON � � . <br /> 1. Permit Fee $ 35.40 � <br /> 2, �tate Surcharge $ 50 <br /> 3. Mait-Tn Fee � $ �-s8— c e 1 i�✓c��� <br /> 4. TOTAL PERMTI'FEE (Add lines 1-3 above) � $ �j�•� � <br /> The undersign�d hereby applies to the City f�r issuance af a Sgriakler System Permit, agrees to da <br /> aI1 wark in strict accordance with the ordi.nances of the City and Sta#e regula�tians, and certifies that <br /> all statements made on this applieation axe com,plete,true and coirect. <br /> P►PPlicant Date ����� . <br /> �******************************:*�r***�*****�****,�********��********�*********�**� <br /> Approved A.pproved with Gorredions Denied . <br /> Reviewecl by: <br /> Date <br />