1991-004039 - mechanical - Laserfiche WebLink

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� . . . . � - _ , , , . , �_ : � � ' � 7 *WOOD BIIRNING EQIIIPMSNT $15.00 each unit Wood stove with___f lue _ - Wood combi�na"fion or add-on unit Factory fire�lace with flue Factor Fireplace (s ) frees.tanding Masonry - Wood Stove (s ) f ranklin;��csthe�_._ BrandName Model No. ``-----� ' Mfgr' s Min. , Clearances, side , rear , min. flue dia. Total ******************************************************************************** VENTILATION $15. 00 each pro�ect , �� c�r'c� /-�> �"�I�Y�S No. � Kitchen Exhaust �' ducted recirculating cfm � No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm Total ******************************************************************************** FIIEL STORAGE (must be approved by fire marshal �-" ' . 00 Permanent/Temporary Fuel oil, gallons nderground inside outside : LP Gas, .-ga3lans �� Oth.er--- -� Gas opening ******************************************************************************** �� _ INE INSPECTION i�h�-�`L,ow Pressure $15 . 00 * �***************************************************************************** PERMIT FEE CALCIILATION �y� 1. Total of above Installations or Minimum Fee ($30.00) $ 2. State Surcharge. Add the State Building Code Division k Surcharge to each permit $ .50 3. Postaqe and Handling on all mailed-in agplications, $ 1. 50 4 . TOTAL PERMIT FEE add lines 1-3 above $ l; `,r�'-�' The undersigned hereby applies to the City of issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the Minnesota State Building Code, and certifies that all statements made on this app 1�ca��on are complete, tfue and correct. � K �� G Applicant s Signature: ( \ Date: ; ZL � ; •.� - ,. � . - � ;