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CiTY OF ORONO � 6124730510 04/24/98 11 :15 � :02/02 N0:378 <br /> . � <br /> ���� � <br /> ..._..._..�_ �`ood stc,�v� with tlut <br /> Wood cumbin,ation o� add-on <br /> _ Factary �replace with.flur <br /> _ Factory fiirepiece (s) F�estat�iing Ma�otuy <br /> �� Wood'SFov� (s) � Pranklin, other <br /> JBratnd Nautt�`: �_ -�.�.,,::.�._. Model I�lo: ,------.---_�._.. <br /> Nifgr s Min., Clearances, side ne�r , min. �Iue dia_ <br /> -�:-� � <br /> Y��1TILA1'ION <br /> No: _ Kiuhen ��usc ducted ncirculating cfi�► <br /> No. � B�ch Pxhaust {musc b� du�ced outside) cfm <br /> �10.. �'� Qther Fans: Lc�cedor�s ' <br /> '"- �� cfm <br /> ��,�..STORAGF (MUS�' BE APPROV�;D BY �IItE MARSHAI..) <br /> �� Inst�tlation Rcm�val <br /> -_-__ Fu�l pil: _` gallons und.erground � ingide � oucsule <br /> � LP Gas: gal�ons <br /> ...., _ <br /> ,..,.... Other � Gas opcning <br /> �_ - <br /> PE8�1I��'EE CALC .n A'�'jON <br /> �: 1.25°�'o of�'�gct .Pr,�* o.r �imum �'ee (�3S 00) <br /> �-�d� . �� _.... x ,0125 $ ,�l, a � <br /> {c�mtract pricti) - _ <br /> �= ,���u���� *'' Adcl the St�te Building Ci�de Division <br /> Surcharge to �ech perirrit. �p�; p� � x .0005 $ I � � S� <br /> or $:54, whichi�ver is �rt�t�r Ccon�rac� pric+e)� -" <br /> '1. �'�ar,�ee ar�d I�gndti►�o (p�y ma�l=in aPplicati�ns) $ i S <br /> 4. TC�'I�►I� PERMIT FEE ' �'—��-- <br /> (Add line� i-3 above) � _ .��,,�,Q � <br /> °' CON'�1tACT PRIC�Q�JOB C'OST�xaAs.,tbt acCwi.pr e�tinurted dollar arriuuqt c1larEed for Ehe per�nut�d <br /> wbrk inciuding d►eeeriala, labor, profu, and other fixsd cosc�. I� is the amount co b� charged o� th� <br /> �uatomer tor'.ifie.work done. Yf aqv maierW. +cc�iiP!m�et.labor,or Inuallar'ioa are furnithed <br /> by�he owacr. <br /> te�nt or.any b�,rr party the reaRunable mukcc value oi yuch icema mua�be added w che cscimared cos� <br /> or ront�act pr� �Cir permic fte purpo�es. In ihc evam tDat t�ere is a di�rua on�u amounc oC c6e job cast, <br /> che Giiy rnay xeq�esc �he �ub�ission of a si��copy of th� actua! eontract. <br /> *" Tl�r. 5TATE SURCIi�RdL� i3 .00OS,of tha contract prire under 51,00(1,00� o� f.50 - whiEhcvrr is <br /> �teacer. Fo�v�u$tiflna over 51.00O.00p csll the Depanment of Inspec[ioAAl.Servlcea for.cbe price. <br /> Thc und�rs�gned hereby $pplics w .the City f�r issusttcc of a Mechanical Permit. agrees to do <br /> xll work in stricr au:orda.n�:e witli the o�inar►ces of the Gi.ry ar� tt�r�gulacions of tt�e Miru�sota <br /> Srace �3uilding Codc. a� c�rcifes that��1��atcmants madE on this a�plication are comptete,..true <br /> sn� .coircct.. � <br /> App�lcanc'R �ignacnre: Date: �� /� � <br /> Approvod.$�r. __ ,, Date: '� � '�� <br /> ��� <br />