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<br />''� *WOOD BIIRNING SQIIIPMSNT $15.00 each unit §ti���. �3
<br /> Wood stove with flue :��,: y� . ,��
<br /> Wood combination or add-on unit ;����'�<` ~
<br /> < ;-,.��..,.. , �
<br /> Factory fireplace with flue °� �?��
<br /> : Factor Fireplace (s) freestanding built-in �.�
<br /> ' Wood Stove (s ) franklin, other �� `
<br /> � ,��
<br /> ` BrandName Model No. �
<br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. �
<br />�,r Total
<br />� ******************************************************************************** >:
<br /> _' VENTII,ATION $15. 00 each project
<br /> �
<br /> : No. Kitchen Exhaust duct�d recirculating cfm '�� ' ` � �
<br /> r�� �; ��
<br /> ' No. Bath Exhaust (must be ducted outside) cfm �:�
<br /> ` No. Other Fans: Locations cfm �
<br /> - Total �.�
<br /> s ******************************************************************************** ��
<br /> �'� FUEL STORAGE (must be approved by fire marshal) ��
<br /> ' $30. 00 Permanent/Temporary
<br /> Fuel oil, gallons underground inside outside . :
<br /> =i LP Gas, gallons
<br /> Other Gas opening
<br /> ********************************************************************************
<br /> GAS LINE INSPECTION
<br /> _�� High/Low Pressure $15. 00 .;
<br /> ' ************************************************�t*,�***�r*�*,�*�*���*����****�*�*�* ,:
<br /> PERMIT FEE CALCQLATION ��
<br /> 1 . Total of above Installations or Minimum Fee ($30.00) $ 30 _ On _��'
<br /> 2 . State Surcharge. Add the State Building Code Division �,��.�
<br /> " Surcharge to each permit $ . 50 ,� x�
<br /> ,� 3. Postage and Handling on all mailed-in applications, $ 1.50 �"`'
<br />�'� 4. TOTAL PERMIT FEE add lines 1-3 above $ 32 . 00
<br />;�a —
<br /> i�;
<br /> R 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 /> ` tne regu3ations ot L'ne riinnesota Stat� Bu ' " �ode, and certifies that ail ,�.=
<br /> � statements made on this applicatio ar mplete, t e and correct. �
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