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� Page 2 of 3 <br /> C OOLING SYSTEMS <br /> (►uantiry: <br /> D 1ake: <br /> r 1ode1: <br /> 7'ons: <br /> �L Power <br /> F::REPLACES <br /> _`� Gas factory fireplace <br /> Wood burning factory fireplace with flue <br /> __Wood Stove <br /> Wood stove with flue <br /> B�and Name_ _�..p�- -y� �1 p Model No. �L��TlLC� <br /> V 3NTILATION <br /> N��. Kitchen Exhaust ducted recirculating cfm <br /> N��. Bath Exhaust(must be ducted outside) cfin <br /> N��. Other Fans: Locations cfm <br /> F1JEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) <br /> Installation Removal <br /> � __Fuel oil: gallons underground inside outside <br /> __LP Gas: gallons <br /> Other Gas opening <br /> PI;RMIT FEE CALCULATION <br /> 1. 1.25%of Contract Price*or Minimum Fee($35.00 <br /> (Contract Price) /�9-�� 0 6 x.0125 $ ��, D�_ <br /> 2. State Surcharge. ** Add the State Building Code Division <br /> Surcharge to each permit. (Contract Price) /o`���, � d x.0005 $ • �-� or$.SO <br /> ht:p://www.ci.orono.mn.us/mechanical%20permit.html 1/8/2002 <br />