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<br /> ' *WOOD BIIRNING EQIIIPI�NT $15.00 each unit �i
<br /> Wood stove with flue '
<br /> Wood combination or add-on unit ,y„�
<br /> Factory fireplace with flue ���'� � �� ��� ��
<br /> ' Factor Fireplace (s) freestanding built-in �;�
<br /> Wood Stove (s ) franklin, other �
<br /> �
<br /> Brand Name Mode 1 No.
<br /> `, Mfgr' s Min. , Clearances, side , rear , min. flue dia.
<br /> Total
<br /> ******************************************************************************** ;
<br /> ; VENTILATION $15. 00 each proje�t
<br /> �.�
<br /> ' No. Kitchen Exhaust ducted recirculating cfm ��'s;�y`
<br /> No. Bath Exhaust (must be ducted outside) cfm �=�-�r �
<br /> ' No. Uther r ans: Locazi�ns c�m. M�4'
<br /> Total �
<br /> ********************************************************************************
<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 /> GAS LINE INSPECTION
<br /> High/Low Pressure $15. OQ ,;:
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<br /> �
<br /> P$RMIT FEE CALCQLATION �
<br /> 1. Total of above Installations or Minimum Fee ($30.00) $ - > ��
<br /> 2. 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 /> 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 regulations of the Minnesota State Building Code, and certifies that all �
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<br /> Applicant' s Signature:� ����`'��,_��� � ��� '�. 1 '��; �1 Date: ` �������
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