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� i <br /> � <br /> ' i <br /> CLASSIFICATION OF OCCQPANCIES <br /> Light Hazard Ordinary Hazard (Group 1)_� <br /> Ordinary Hazard (Group II)�_ Ordinary Hazard (Group III) <br /> High-Piled Storage High Rise Building Extra Hazard <br />***�***:*�*::�*:�**�*****:�*��**:*::�*:***��*:****�*********�*�*�*:*:*::*�* <br />�ATffit SIIPPLY <br /> Static (�O PSI Residual '�Z. PSI <br /> Hydrant Flow Test <br /> Tank: Size <br /> ' Well: Size <br /> Other: <br />***:*s��*�t�****:*:*:*�********:*�:��**:******:�**:*�*�**�*��:****:******** <br /> SYSZ'$M TYP$ Wet�_ Dry�_ Deluge PreAction <br />***:*�***�****�****�*****�***���********�****�*�****�*****�*���*�r�***:***** <br /> Year of Orifice Temperature <br /> Make Model Manufacture Size uantit Ratin <br /> S�rinklers G�.w� F9.S0 1°19� � �. SS9 t1.5 <br /> TOTAL <br /> Alarm Device Max. Time to Operate Thru Test Pipe <br /> T e Make Model Min. Sec. <br /> Alarm Valve <br /> Flow Indicator �udTlF�l�fL Gc!/�l� <br />*****:�*�**:**#*�**:*�**�***�**�****�***�:**��**�******�:****�*�*:****�**** <br /> HYDRAIILIC CALCULATIONS Design Data: <br /> Density .ZO GPM/Sq. Ft. <br /> Area of Application: /S�l� Sq. Ft. <br /> Coverage per Sprinkler: !3v Sq. Ft. <br /> No. of Sprinklers Calculated: /� <br /> Total Water Required: [e'S�. 1 $ GPM. INCLUDING HOSE STREAMS. <br />***�****************�********#��*********�*�:�*�**�******t**�******�******* <br /> SPRINRLffi2 SYSTEMS Valuation: $ �(o��✓�It� <br /> $30.00 minimum per system plus 65$ of permit fee <br /> for plan review. Surcharge based on valuation. <br /> Numb�r o� Seacis: S�5'��' No. of Risers: Z $2.00 per head <br /> .50 per heacl after ani�ial 50 <br />:**�****t****::*****��:*********:�*�*�*******�****��**�*s**��**:�*�*��*:�*�e <br /> PERMIT FB$ CALCOLATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ <br /> 2. State Surcharge. Based on valuation. $ <br /> 3. Plan Review Fee (65� permit fee) $ <br /> 4. TOTAL PERMIT F$E add lines 1-3 above $ <br /> The undersigned hereby applies to the City of issuance of a Sprinkler <br /> System Permit, agrees to do all work in strict accordance with the <br /> ordinances of the City and the regulations of NFPA 13, and certifies that <br /> all statements made on this application are c ete, true and correct. <br /> Applicant Date q�"�2- <br />