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<br /> �,� *WOOD BIIRNING EQIIIPMENT $15. 00 each unit `�
<br /> r,� Wood stove with f lue �
<br />�;; Wood combination or add-on unit �
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<br /> Factory fire�lace with flue
<br /> Factor Fireplace (s ) freestanding Masonry
<br /> �; Wood Stove (s ) franklin, other �
<br /> BrandName Model No. `4�
<br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. �;
<br /> Total �
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<br /> VENTILATION $15.00 each project +��
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<br /> No. Kitchen Exhaust ducted recirculating cfm `�
<br /> '� No. i3atn Exhaust imu5t b2 du��2d outsi3e; cfm :
<br /> No. Other Fans: Locations cfm `'�
<br /> Total �;;�
<br /> �
<br /> ********************************,t*********************************************** ';.�
<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 ��
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<br /> High/Low Pressure $15 . 00 �
<br />�..�: ;F**'71:'.�.'�'�f:F:4�f'.l't'I�S['It"k'I[*'.�:�"A'f:**'.'I'*.'Y'.�.'�**�9f:�'k�'�.{':F:F*:�:n'.J.'*'k'�':t'I,"kti j.iti�i±l.�l.i 1*;FiJ�.LA'k'i'�*��.i�...�. �._
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<br /> � PERMIT FEE CALCIILATION
<br /> T� .�l . Total of above Installations or Minimum Fee ($30.00 ) $ �S�G' U
<br /> 2 . State Surcharqe. Add the State Building Code D:�vision *�
<br /> Surcharge to each permit $ . 50 N�
<br /> 3. Postage and Handling on all mailed-in applications, S 1. 50 �
<br /> 4 . TOTAL PERMIT FEE add lines 1-3 above $ G -� �
<br /> :._i �
<br /> . The undersigned hereby applies to the City of issuance of a Mechanical Permit, �"
<br /> `"F acrees 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
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<br /> � statements made on tnis a�piica�ior� are c�:«�,leze, �rue aad cerrect.
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<br />��' A�plicant' s Signature: LC .�� Date: �a —7 �% 2-
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