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Mair-'J-2002 01:23pm From-CITY OF ORONO +£522494616 T-207 P.002/002 F-684 <br /> i <br /> Please check one: g. �� Addition <br /> joB srrE LH 5 N ori T N S r D� . �n.a r�� r'✓1 <br /> dwmer's Name M1 TelephoneNumber <br /> ✓1� <br /> Mailing Address L4Lj1j `, 'o r--rH >do rt-E. D 2 . O l i r'o , m N—' 5-53Co LI <br /> Sprinkler Contractor`s Name GA5 xG(:F&r- : Inc , Telephone-Number-3,40- 5�"cl --�L <br /> Contact Person K)ft i F Pi N rA r3E rl-T <br /> Mailirg Address t I 1 I (c fi�'` / _>sL— S , S,+ : C L J E <br /> WATER ER SUPPLY <br /> Lake x Well, City <br /> 13ACKFLOW DEVICE <br /> AVB PVB <br /> -- � Year of <br /> c : el Manufacture ! n i <br /> Sprinlders__ — <br /> EL vv1 <br /> 4"POP L a cav a 1<{ <br /> TOTAL 3 8 <br /> iffy AI7 UC CALCULrs T QNS Design Data: <br /> Area of Application: _ _ 19 9 IfF 5q. Ft <br /> Coverage per Sprinkler: SaS _Sq. Ft. <br /> No. of Spri.'tklers: 3R <br /> Total Water Required, � — a5 -- GPM /Z�� <br /> E M5 1T FEE CALCULATION, <br /> 1. Permit Fee $._ 35.00 _ <br /> Z. State SurcltaL e_ $ .50 <br /> 3. it i i—n Fee S 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _ <br /> The undersigned hereby applies to the City for issuance of a Sprinkler System permit, agrees to do <br /> all work in strict accordance with the ordinances of the City and State regulations, and certifies that <br /> all statements made on this application are complete, true and correct. <br /> Applicant % j Date <br /> PP �� - -- <br /> Approved M A.p roved with Corrections Denied _ <br /> Reviewed by: �h c— Date ��� <br />