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Page 2 of 3 <br /> COOLING SYSTEMS <br /> Quautltl'. <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> �/ Gas factory fireplace <br /> Wood buming factory fireplace with flue <br /> Wood Stove <br /> Wood stove with flue <br /> Brand Name���'�t�D�-11� �0 ' Model No.�j'1..,� �-� <br /> � VENTILATION <br /> No. Kitchen Exhaust ducted recirculating cfin <br /> No. Bath Exhaust(must be ducted outside) cfin <br /> No. Other Fans:Locations cfm <br /> FUEL 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 /> PERMIT FEE CALCULATION <br /> 1. 1.25%of Contract Price*or Minimum Fee($35.00 <br /> (Contract Price) /a 00.0 0 x.0125$ �D a <br /> 2. State Surcharee. **Add the State Building Code Division <br /> Surchazge to each permit. (Contract Price) /�1.�, �0 x.0005$ •[.�G� or$SO <br /> http://www.ci.orono.mn.us/mechanical%20permit.html 1/8/2002 <br />