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. Page 2 of 3 <br /> ' � , t <br /> COOLING SYSTEMS . <br /> Quantity. <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> ✓ Gas factory fireplace <br /> Wood burning factory fireplace with flue <br /> Wood Stove <br /> Wood stove with flue <br /> � Brand Name �q�- �y1' l9�b Model Na �.�0 O'p�,—Q p,�K- <br /> VENTILATION <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust(must be ducted outside) cfm <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($35.00 <br /> (Contract Price) /4�D,0� x.0125$ , OV _ <br /> 2.State Surchar¢e. **Add the State Building Code Division <br /> Surcharge to each permit. (Contract Price) ����'�� x.0005$ �� or$SO <br /> http://www.ci.orono.mn.us/mechanical%20permit.html 1/8/2002 <br />