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x : <br /> .. . _ Y� . ' . � <br /> *WOOD BDRNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireplace with flue <br /> Factor Fireplace (s) freestanding Masonry _ <br /> Wood Stove (s ) franklin, other <br /> BrandName Model No. <br /> Mfgr' s Min. , Clearances, side ! rear , iain. f��.ze 3ia. <br /> Total <br /> ******************************************************************************** <br /> VENTILATION $15.00 each project <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. Other rans: Locations cim <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 $15 . 00 <br /> ******************************************************************************** <br /> P$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. Postaqe and Handling on all mailed-in agplications, S 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 /> st�tements made on this application are complete, t�ue and correct. <br /> A�plicant' s Signature: Date: <br /> �� <br /> � z= ; . <br /> q �� ; � <br /> E � ; <br /> � � � <br /> �� �; ; <br /> � � � <br /> 4 <br /> � <br /> � <br /> � <br /> r � r <br /> . k�:. . . . . . �� . <br /> ,� � . . .. {F1�.�:. i .� . . . . � .. <br /> f. . . � � � . �I. f�.. � . , . . � � � . , . <br /> � .. � .t. � �- . . . . � . . . . .. . . . . . .. <br /> ' .� , . - . .� ��, � � . . . . . �. � . . . . . . .. <br /> : , , <br /> �;, s. . . . �, . . . . . <br /> < , . *. . . . . _ <br /> , ,� <br /> . €. � . . � : l�. ... .. � .... . . . _ . . . . �,.., .. ..�. -.._.... <br />