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<br /> *WOOD BIIRNING EQIIIPMENT $15.00 each unit
<br /> Wood stove with flue
<br /> od combination or add-on �-n�t� 2 ;i���`�.
<br /> Fac ry fireFlace with flue
<br /> Factor Fireplace (s) freest ding Masonry '
<br /> Wood Stove (s ) franklin;�other
<br /> BrandName Mode 1`�To.
<br /> Mfgr' s Min. , Clearances, side , rear �, min. flue dia.
<br /> Total
<br /> *******************************************************************************R
<br /> VENTILATION $15.00 each project
<br />� No. � nitcnen rxnausL ✓ ducted racirculating cf=.,
<br /> iva. � B«tr �%;::�:us� �:*�'�st be c7ucted outside) ,_ cfm
<br /> No. Other Fans: Locations cfm � �?�
<br /> Total � •
<br /> ******************************* ************************************************
<br /> FIIEL STORAGE (must be approved b fire marshal)
<br /> ' $30. 00 Permanent/Temporary
<br /> Fuel oil, gallons unde round inside outside
<br /> LP Gas, gallons �
<br /> Other '��as opening
<br /> ********************************************************************************
<br /> ��S LINE INSPECTION /� G�'
<br /> High ow Pressure fj ��1��!�'f�� -- $15. 00 1 �,
<br /> ******************************* ********************************************
<br /> P$RMIT FEE CALCOLATION
<br /> l. Total of above Installations or Minimum Fee ($30.00) $ /D�� �r
<br /> 2. State Surcharge. Add the State Building Code Division
<br /> Surcharge to each permit $ .50
<br /> 3. PostaQe and Handling on aIl mailed-in applications, $ 1. 50
<br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ /D'7, UD
<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 requlations of the Minnesota State Building Code, and certifies that all
<br /> statements made on tnis appiicati;;^. ar� com�lete, true and co�rec�.
<br /> � �
<br /> Agplicant' s Signature: Date: �U �� �
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