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��,���� � <br /> �' _.� <br /> � �yF; <br /> � �' ♦j .x <br /> � �. Yf: . . . . . . . <br /> � . , . . � � . . .. . .. : . � . � . . ' .� . . �3i <br /> *WOOD BDRAING $QIIIPMSNT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireplace with flue <br /> Factor Fireglace (s) freestanding Masonry - <br /> Wood Stove (s ) franklin, other <br /> ,j <br /> BrandName Model No. � <br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. 'y <br /> Total <br /> ******************************************************************************** <br /> VENTILATION $15.00 each project <br /> �; <br /> No. Ritchen Exhaust ducted recirculating cfm ;�� <br /> No. _L Bath Exhaust (must be ducted outside) cfm � <br /> No. Other Fans: Locations <br /> cfm `� <br /> Total <br /> **************************�rr************,k*********,t****************************** :>;' <br /> FIIEL STORAGE (must be approved by fire marshal ) <br /> ' $30. 00 Permanent/Temporary <br /> Fuel oil, gallons underground inside outside . <br /> LP Gas, gallons <br /> Other Gas opening <br /> ******************************************************************************** <br /> 3AS LINE INSPECTION <br /> 3igh/Low Pressure $15. 00 <br /> ******************************************************************************** <br /> P$RMIT FEE CALCULATION �" <br /> l. Total of above Installations or Minimum Fee ($30.00) $ `;x' <br /> ? . State Surcharge. Add the State Building Code Division � <br /> Surcharge to each permit $ . 50 <br /> 3. Postage and Handling on all mailed-in applications, $ 1. 50 <br /> 4 . TOTAL PERMIT FEE add lines 1-3 above $ _ <br /> �he undersigned hereby applies to the City of issuance of a Mechanical Permit, <br /> �grees to do all work in strict accordance with the ordinances of the City and x�,; <br /> =he regulations of the Minnesota State Building Code, and certifies that all � <br /> �tatements made on this a lication are complete, true and correct. <br /> �. <br /> � � ` <br /> �pplicant' s Signature: Date: � � ;,�_; <br /> ;�: <br /> i �ts <br /> � <br /> �; _ <br /> � <br /> � _ � <br /> �: y� <br /> , s� <br /> . g' . . .. � . . � . -. . . ' . . . . yj? i <br /> . . � .. . . . . . . . . . . . . . " . . . . _ " o^t t: <br /> Y <br /> . F.4� . . . . . . . . . . .. �� , . . . . . . . . . . � y,.� <br /> . rY . ' ' . . .. . . . <br /> .. ... . . . . � . . . .. . . .. �?- <br /> . . � .. . . � . � � ' . - . . - . ' . . ' � . ... � � <br /> : ��� .. �.�. �. ' . .. _". .- <br /> y`� .. . . . . .. . - . . . . . . . .. . <br /> q' .. � � . . . . . �.. �� . . . . . . . . .. . . _ . �. � . .. '� <br /> . �. <br /> ,. �. � . . � � . . � . � . . <br /> � <br /> � , . . , . . '. � � �. . <br /> � <br /> � -� � - . . �� . t <br />