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<br /> *WOOD BIIRNING EQIIIPMENT $15. 00 each unit
<br /> Wood stove with flue `3
<br /> Wood combination or add-on unit � `
<br />` ; Factory fireFlace with flue ��� �„1; z�
<br /> i Factor Fireplace (s) freestanding Masonry - �
<br /> Wood Stove (s ) franklin, other
<br /> ' Brand Name Mode 1 No.
<br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia.
<br /> Total
<br /> ********************************************************************************
<br /> VENTZLATION $15. 00 each project
<br /> �, .:�
<br /> No. Ritchen Exhaust ducted recirculating cfm
<br /> ; No. �- Bath Exhaust (must be ducted outside) cfm
<br />"`'' No. Other Fans: Locations cfm j
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<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. 00
<br /> �
<br /> ***********************************************�********************************
<br /> PERMIT FEE CALCIILATION
<br /> - 1. Total of above Installations or Minimum Fee ($30.00) $ 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, S 1.50
<br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ 32.00
<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 /> s`� the regulations of the Minnesota State Building Code, and certifies that all
<br />�� statements made on this application are comg lete, true and correct.
<br /> �
<br />�q A licant' s Si nature: Zt.�C.�- Date: �
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