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<br /> *WOOD BIIRNING EQIIIPMENT $15. 00 each unit � $ �� �
<br /> Wood stove with f lue � � ��
<br /> } �
<br /> Wood combination or add-on unit � �
<br /> �;
<br /> Factory fire�lace with flue - � ��
<br /> Factor Fireplace (s ) freestanding Masonry ; =�w��"
<br /> Wood Stove (s ) franklin, other ;?
<br /> Brand Name Mode 1 No. `��
<br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia.
<br /> Total �
<br /> ********************************************************************************
<br /> VENTII.ATION $15. 00 each project -
<br /> No. Kitchen Exhaust ducted recirculating cfm ;-''
<br /> No. 7i Bath Exhaust (must be ducted outside) f cfm ,g.�-- �
<br /> No. Other Fans : Locations cfm :�
<br /> Totai ;k�
<br /> ********************************************************************************
<br /> FIIEL STORAGE (must be approved by fire marshal) ;�
<br /> z:;
<br /> ' $30. 00 Permanent/Temporary . ,�
<br /> Fuel oil, gallons underground inside outside �
<br /> �a�
<br /> LP Gas, gallons �
<br /> Other Gas opening �
<br /> ******************************************************************************** �
<br /> GAS LINE INSPECTION
<br /> �
<br /> High/Low Pressure $15 . 00 ✓ r '
<br /> ******************************************************************************** ��
<br /> PERMIT FEE C;ALCIILATION j,
<br /> l. Total of above Installations or Minimum Fee ($30.00) $ �d, 00 �
<br /> 2 . State Surcharge. Add the State Building Code Division
<br /> Surcharge to each permit $ . 50 z;.�
<br /> 3 . Postaqe and Handling on all mailed-in applications, S 1 . 50 r.�'
<br /> �,r�
<br /> 4 . TOTAL PERMIT FEE add lines 1-3 above S � _ �� �
<br /> _ �
<br /> �
<br /> The undersigned hereby applies to the City of issuance of a Mechanical Permit, �
<br /> agrees to do all work in strict accordance with the ordinances of the City and
<br /> the regulations of the Minnesota State Building Code, and certifies that all
<br /> statements made on this app lication are complete, true and correct.
<br /> ';�
<br /> 3�
<br /> ,:�
<br /> A�p licant' s Signature: Date: /��S' 9/ '�'�
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