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<br /> Vry�' , 't� i'� � � � y 1� , � £ : 5 � # ��' �n
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<br />�" *WOOD BORNING EQDIPMENT $15. 00 each unit
<br />���,
<br />�Y- Wood stove with f lue �
<br /> Wood combination or add-on unit "�
<br /> Factory f ire�lace with f lue ��`�=�x�������-���
<br />�: Factor Fireplace (s) freestanding Masonry
<br /> ' Wood Stove (s ) franklin, other
<br />�; BrandName Model No.
<br />,;; Mfgr's Min. , Clearances, side , rear , min. flue dia.
<br />�- • Total
<br />€��; **********�********************************************************************* �
<br /> y��' VENTILATION $15. 00 each project
<br />°'2° No. Kitchen Exhaust ducted recirculating cfm
<br />�,
<br />��;: No. Bath Exhaust (must be ducted outside) cfm �
<br />'�- No. Other Fans: Locations cfm
<br />�`� Total
<br />�:;; ******************************************************************************** ��
<br /> ,,,
<br /> - FOEL STORAGE (must be approved by fire marshal)
<br />�� ' $30 . 00 Permanent/Temporary
<br />"�o Fuel oil, gallons underground inside outside •
<br /> Y`�" LP Gas, gallons
<br />;;:.
<br />"'� Other Gas opening
<br />��,�
<br /> : ********************************************************************************
<br /> ':: GAS LINE INSPECTION
<br />� � High/Low Pressure $15. 00 �
<br /> `'`� ******************************************************************************** �"�
<br />� �' P$RMIT FEE CALCULATION �
<br />�±�;
<br />�,� 1. Total of above Installations or Minimum Fee ($30.00) $ .,, � �� , � ',
<br />� 2. State Surcharge. Add the State Building Code Division r � ��
<br /> �� Surcharge to each permit $ .50 ��� r�' � �,��
<br /> �� 3. Postage and Handling on all mailed-in applications, $ 1.50 " �- �
<br /> � 4 . TOTAL PERMIT FEE add lines 1-3 above $ ��
<br />��
<br />�:.�
<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 /> 3;_
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