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; r � .,,,r.�,.n ,��.�„c�..W.twr �R <br /> t:Y a�'� 1". <br /> 5 y. 4 <br /> 6'. E <br /> ���, ., � �x` <br /> � t_:. �.. .��� �� , " <br /> :� � ' � , <br /> . .. , . ... [..' . - � � <br /> 6 � <br /> *WOOD BIIRNING EQIIIPI�NT $15.00 each unit k <br /> Wood stove with f lue ° .�< .�. <br /> Wood combination or add-on unit '�� ` �� <br /> Factory fireFlace with flue 4 �� ::� <br /> Factor Fireplace (s ) freestanding Masonry - � ��y <br /> Wood Stove (s ) franklin, other � <br /> BrandName Mode1 No. "`� <br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. <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 Fans: Locations cfm <br /> ` •lotai <br /> ******************************************�+�*_********************************** <br /> ' FIIEL STORAGE (must be approved by���arshal) <br /> � ' - - " $30. 00 Permanent/Temporary <br /> _ <br /> Fuel oil, ga��ns underground inside outside <br /> LP Gas, gallons <br /> Other Gas opening <br /> ******************************************************************************** <br /> GAS LINE INSPECTION <br /> High/Low Pressure $Z5. 00 <br /> ******************************************************************************** <br /> PERMIT FEE CALCIILATION <br /> 1. Total of above Installations or Iriinimum Fee ($30.00 ) $ �7. B� <br /> 2. State Surcharge. Add the State Building Code Division "� <br /> Surcharge to each permit $ . 50 °� <br /> 3 . Postage and Handling on all mailed-in applications, 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 /> statements made on this application are complete, true and correct. <br /> / \ � �� �� <br /> A�plicant' s Signature: Date: � ,_�� <� ,� <br /> �, :> <br /> � ,;; � '� � <br /> t ��, � � � <br /> �. � <br /> � � a � <br /> '�'. � - : <br /> � � <br /> r> - � . <br /> i _. � <br /> 2,. � .. .. .. . <br /> S�. � t<,,: y s _ <br /> �, .. . . ,.._„__ �, . .. Y__.�.. _ ._ . _.._ ._. _ Y. „ . _ . __,... _. ..._ __..._,,..�� ,..LL �1 � .�...�� <br /> _v�„�..u�� b�� _� _ �.�.� �:�� �� <br />