Laserfiche WebLink
Please check one: New Addition Limited Energy Technology <br /> Systems License # Pl- 093-.0 <br /> JOB SITE Dry ve <br /> Owner's Name 1011 and SfeV hO n.r_ �x ma x,✓ Telephone Number 962--1472- 2304 <br /> Mailing Address `f 5 J5 /•fes-i-�-1 Sl-�e d7r�✓e 0VV•)0 "Al 6S3(1-- <br /> Sprinkler Contractor's Name 7 A�U L-0 ke Telephone Number 713 <br /> Contact Person Lu Ke, <br /> Mailing Address 1S!` Gc b,d L0.1�e Dr. ,c��.� p.,d_� „,ll, 5-c3o y <br /> WATER SUPPLY <br /> Lake Well City <br /> BACKFLOW DEVICE <br /> AVB PVB <br /> Year of <br /> Make Model Manufacture Quantit <br /> Sprinklers -6/0441- ;�Zv 2605— Z 0 <br /> !2�6 2C) <br /> Dr%2 l rte• 2036 - �16OC7 jr�- <br /> r <br /> TOTAL'/0--4-6- 14-c o <br /> yaao R��•;o lrr- <br /> HYDRAULIC CALCULATIONS Design Data: <br /> Area of Application: / Sq. Ft. <br /> Coverage per Sprinkler: Z2S Sq. Ft. <br /> No. of Sprinklers: I/O <br /> Total Water Required: 13, (- GPM <br /> PERMIT FEE CALCULATION <br /> 1. Permit Fee $ 35.00 <br /> 2. State Surcharee $ .50 <br /> 3. Mail-In Fee $ 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 � G� Date 7 - 7- 0,5 <br /> Approved Approved with Corrections Denied <br /> Reviewed By: Ai .! Date <br />