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F`Ay.Q}. '" <br /> . . 3e .Rk�,`� #�- <br /> . . ' . .� _. � . . .. . <br /> - ..........:. . .... ....'. :_.....- ,1 . . . <br /> � <br /> � <br /> WOOD BIIRNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireplace with flue <br />'actor Fireplace (s) freestanding Masonry--- <br /> Juod Stove (s ) franklin, other <br /> 1rand Name Mode 1 No. <br /> sfgr's Min. , Clearances, side , rear , min. flue dia. <br /> Total <br />;*,�***************************************************************************** <br />�1TILATION /C�1�� $15.00 each project <br /> to, � Ritchen Exhaust ducted recirculating cfm <br />�o. 3 Bath Exhaust (must be ducted outside) cfm <br />+�. � Other Fans: Locations ��� cfm <br /> Total <br />:******************************************************************************* <br />�QEL 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 />�.AS LINE INSPECTION <br /> iigh/Low Pressure $15. 00 <br /> *****************��r*�r*a�t��t�xx��t�tt�*�**xt***t*************** ****************** <br /> PSRMIT FEE CALCULATION <br /> . Total of above Installations or Minimum Fee ($30.00) $ O. � <br /> . State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> . Postage and Handling on all mailed-in agplications, $ 1. 50 <br /> . TOTAL PERMIT FEE add lines 1-3 above $ �a � �� <br /> - � <br />'he undersigned hereby applies to the City of issuance of a Mechanical Permit, <br /> grees to do all work in strict accordance with the ordinances of the City and <br />.he regulations of the Minnesota State Building C,ode, and certifies that all <br /> tatements made on this app 1 ' ation r complete, true and correct. <br />.pplicant' s Signature: Date: � '` � <br /> E <br /> r <br /> � <br />� I <br /> � <br />