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l.11 T Vt' VI�VIVV HYYL1l,H11V1V t'VK 1V1�1,riH1V1l.;HL Yr,K1V111 Yage 2 0� <br /> ► <br /> COOLING SYSTEMS " <br /> Quantity: <br /> Make: � f �' t <br /> ModeL• �I � � <br /> Tons: <br /> � L <br /> H.Power <br /> FII2EPLACES <br /> Gas factory fireplace <br /> Wood burning factory fireplace with flue <br /> Wood Stove <br /> Wood stove with flue <br /> Brand Name Model No. <br /> VENTILATION <br /> No. Kitchen Exhaust duct recalculating __ cfm <br /> No. Bath Exhaust(must have duct outside) cfm <br /> No. Other Fans: Locations cfm <br /> FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) <br /> Installation or Removal <br /> Fuel oil: gallons underground inside outside <br /> LP Gas: gallons <br /> Other Gas opening <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute Yes This Section Applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1) Does not require modification to electrical or gas service. <br /> 2) Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ _ 15.00 __ <br /> State Surcharge$ .50 <br /> Mail-In Fee $ 1.5�— <br /> I�a�ove oes not ap yp �o[�w gui e mes e ow: <br /> 1. Contract Price* is .0125°/a of job with a Minimum Fee of($35.00) <br /> ------- - — ,�C cv x .0125 $ � �1J• �Ll <br /> __-- ----- -__ — _ <br /> (contract price) (minimum$35.00) <br /> 2. State Surcharge. ** Add the State Building Code Division aMinimum Fee of($ .50) <br /> - ----- — �- <br /> r � c�ii x .0005 $ `I � <br /> �, �' <br /> file://C:\Documents%20and%20Settings�mimi\Desktop\CITY%200F%200RON0%20APPLICA... 7/31/2003 <br />