Downtown Sprinkler Program

Application

Instructions:

1. Review the Downtown Sprinkler Program Outline and Agreement.
2. Complete this application form and submit it by March 2, 2007 to: Attn: Kevin Doyle

City Hall

3. In March, if you are selected for the program: PO Box 708

a. Submit three (3) sprinkler system installation estimates. 6^th East 6^th Street

b. Submit the Downtown Sprinkler Program Agreement. Lawrence, KS 66044

Owner Information:

1. Building Owner(s):
2. Owner’s Representative(s):
3. Mailing Address:

4. Phone: E-mail:

Building Information:

5. Building Address:
6. Basement: Yes

No

7. Building Width: Frontage Feet (Typical: 25’, 50’, etc.)
8. Mezzanine: Yes If yes, what is its use?

No

9. Number of Upper Floors: (above street level)
10. Current Use of Building: Main Floor:

Basement:

Upper Floor(s):

Sprinkler System Information:

11. Does the building currently have a separate fire sprinkler service line?

Yes If yes, what size? Inches

No

12. Is the building partially sprinkled?

Yes If yes, what area(s) is sprinkled?

No

13. Would you consider sharing a Fire Sprinkler Tap and Service Line with adjacent buildings?

Yes If yes, have you agreed to share a tap and service line with an

No adjacent owner(s)? Please list below:

Building Owner(s):

Building Address(s):

Program Information:

14. Do you wish to receive the tap incentive even if you are not selected for the full system incentive?

Yes, I plan to install a sprinkler system even without an incentive.

No, please remove my application if I am not selected at this time.

Questions:

Please direct any questions to Kevin Doyle at 785-832-3410 or via email at kdoyle@ci.lawrence.ks.us.