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�_� � �. ^i � �' � �`�� � � ;s � " �' �' <br /> h"'xr M k � x�� $�- 5 �� � : �Y � �� �� k � . .., � # .�."''''�` , �� �,� ����� :* �' <br /> '�,•, �'�`r -.^ ,�p` � . �J 5 ��� t.�`k �la .,"4 �� �w � rf�� �� A� '� <br /> ' '� t � S � � '^b; �v ac� '� ,� s�*€� �r) d.f,� _ F �k �� fi` <br /> a <br /> ���� :a�,. � �'' _ � .i ,�z� t e- # . `�a'�� a -7� r�;�'�- �t ��'4 � � <br /> � 3��p� 4 £f , C w �` r� ,� qy y 2 �' ,�. x ��-.,",a�` �k �,� t� �� n � � <br /> `'"�s � �i � � .�. ��'. � �� �.r' � � � ' � _�y4�g� k �' x � <br /> i� ,� �.. 3 k .} �' 4 ,., �h ;.P � � � <br /> ��+ h f. �' i'se"' 4� �: � L` � .� _ <br /> \ ` . 2 <br /> r u.�.,r� . �_ . .. t,' .+� - .< . ;:s{ g- at ,� '�� �rb- .�a <br /> , . •_ r � �� � : �: <br /> ; <br /> «, t <br /> .. .. �, . ."", <br /> , <br /> . .. .. . , . . . . .... . 1 �,:�.. . ._ . . . . .... . .. .,. . . . . .- <br /> �i 7�' k " ' <br /> ,. <br /> c ,��_ i <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 $15. OQ ,;: <br /> *ic�cic�**ir*yr*�C�4ic�fC**ic***ic�tic�icir�h******ir*�k*�t*****�k*iFtF***iF*�t*�k**it***it***it**�k�k�k***�k�k***�k <br /> � <br /> P$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 � <br /> t—L 1 t L • 1 • 1 1 1 L <br /> SLaL@tltCil�S �iau� vIl tili5 arit,iiC:ut:1t�T'i a�t i:0iii�t.i.c�E� �ii:ic aiit� �:Oii2C�. <br /> Applicant' s Signature:� ����`'��,_��� � ��� '�. 1 '��; �1 Date: ` ������� <br /> � <br /> � .: , ¢ . ,� <br /> �K? wZ'.. ' „^�(''�. ; {' ;�$ � u �''�+�, "c' � .'F 1 �`�k '� `�'.` �` 4 <br /> � <br /> z <br /> 't - � :: `�Ft� � �x a a A '. 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