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Rpr 27 05 09: 12a Mike Kilmer 651 437 5496 p. 5 <br /> Apr 26 05 IO: OIa James Martinson 952 447-7674 p_3 �'�� <br /> � Aor-26-2005 OB;�fan FronrCiTY OF OROAO � ri5224p4�16 T-8B1 P.003/003 F-507 ��,� <br /> � +, <br /> I �-�.�-r�b `��Ga <br /> j � �{ �S <br /> �/ Limited Eaergy Txhnology �` � 2, <br /> Pleasc check onc: New!� Addition} <br /> � Systems License# �L��t4 8� <br /> "�s Oi��7 <br /> �OB S1TE , <br /> Owne�s Name � I� m A� � ,r�4 o�J � Tele�ie Number <br /> �.�ta�n�a�s i4 � S� <br /> � <br /> 5prinkler Contracto�'s Name �QDI 1'le���I t�'J�iJ Tdophonc Numba 6 5!-�37-o�?3 <br /> ContactPason m���° �lMe� � <br /> l <br /> vtailing Address c��a o �?1�t��. �r� /I�/� 5 5�3`' <br /> wATER SYIPpLY I <br /> Lake�_ well C1LY� <br /> BAC1Q'LOW DE�� I <br /> AVB P� � year of <br /> ske odel anufactuce uanti <br /> Sprinklers � - � `5 O � <br /> 7 z a ao <br /> .r <br /> --- 1VlAL <br /> HYURAUI,IC CALCULATIONS Desi Data: � � F` <br /> Area af Applieanon: S Ft. <br /> Covecage per Sprinkler: — � 4' <br /> ;�io.of 5pri,nklers: GPM <br /> Total Water Required: <br /> PERMI'Y'FEE CALCULATION $ 3S Op <br /> 1. Pecrnit Fee $ .50 <br /> 2. State urchar c � 1.5� <br /> 3. Mail-In Feo S <br /> 4. TOT'ALPERMIT FEE(Addlmes 1-3 abovcj <br /> The undersi�ed hereby applies co the Ciry or usuance of a Sprinklcr 5ysiem Pcrmit,agrees to do <br /> all work in strict accar'dance with rhe oni' ces ofthe Ciry and Statc regulations,and ceKtifies that <br /> all statements made on this application are ompletc,crue and correce_ <br /> � � Date � � � f <br /> pppliean ��° <br /> #�t��M*4�i� ♦i»�I'*i+lr�r7l#i�#4�F*�R�t�Mtt�it t�Yt*rif�t***�k*�/�fn�F+Yt�Y'1�'f�Y�►*ti�#�tlii*� 44*s44M�srY <br /> Approved_��.r Approved wtth Correctians �� - — <br /> ' � � N- z�,- o5 <br /> RevicwedBy: ^ "' ,' �•d"''--- Datc <br /> I <br />