|
��"�j;�i.F�.�f'�i ,t�3���r� +.r � �� `*s"""'- "'r�s' '�� ��'_` �s� .. . ."�"95 �
<br /> Z' 8 �
<br />�`�,w i�?� ,r`�� .� .a 4y 3 �.��� y � '-f .I _i
<br /> ��,����'�� ' t � ,l ', � � , �+. r�
<br /> 2 h �:��� , ���` � �t� � d � � �1 � � ' . � �
<br /> ,� v� ,��, `K,� :-�ffi 'ce:��.���'����%� .
<br /> ;,� x:: :�
<br /> �� z�
<br />'WOOD BIIRNING EQIIIPI�'NT $15.00 each unit h ��� �a`� �
<br /> � <�- �, ,
<br /> Wood stove with flue � �`�`�` '� `` �� �
<br /> & M
<br /> �� ���"�� ���£�� �
<br /> Wood combination or add-on unit �µ � 7 � _
<br /> Factory fireFlace with flue _. .�, �:_` -: �
<br /> �;
<br />'actor Fireplace (s) freestanding Mas�onry -- �
<br />�ood Stove (s ) franklin, other �" � s
<br />�randName Model No. �
<br /> ifgr' s Min. , Clearances, side , rear , min. flue dia. �'�
<br /> Total �
<br /> **�**************************************************************************** �
<br />'ENTILATION $15.00 each project
<br /> ��
<br /> �:N�
<br />'o. Ritchen Exhaust ducted recirculating cfm �, gr : - ;; ;- _ '
<br />'o. �_ Bath Exhaust (must be ducted outside) cfm � :
<br /> � ,�5: }.w.. Y _:
<br /> o. Other Fans: Locations cfm k �V.� .�
<br /> TQtal
<br /> ���>,
<br /> *******************************************************************************
<br />'IIEL STORAGE (must be approved by fire marshal)
<br /> ,
<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 /> � J� e�1�t �.
<br /> igh/Low Pressure $15. 00 � C� V� � '
<br /> *��7r7FX7C�7t*7C7FYC7C'�A'aC7c7'iSs�x�� 'r.•��•�a�:n•::.s.�::�:`:-?.����#�k.+t�;t#:►�t4#*#f±k*�lr*ir�k*ikic�r#*�r�c*i��k*ir��c*�k*�Fic* i
<br /> P$RMIT FEE CALCIILA,TION � 1 '
<br /> . Total of above Installations or Minimum Fee ($30.00) $ -L � . �0 fi
<br /> ��
<br /> . State Surcharge. Add the State Building Code Division � '��
<br /> Surcharge to each permit $ • 50 S`
<br /> ' �,
<br /> . Postaqe and Handling on all mailed-in applications, S 1. 50 ` '
<br /> . TOTAL PERMIT FEE add lines 1-3 above $ �(7 D U _ '�'
<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 i
<br /> he regulations of the Minnesota State Building C,ode, and certifies that all �'
<br /> tatements made on this app lication are complete, true and correct.
<br /> - c
<br /> ,
<br /> , �
<br /> _ �_31_ . � �
<br /> Frlicant' s Signature: ' � � Date. � r�=
<br /> -,--�
<br /> �;x
<br /> ��
<br /> a ��
<br /> r�d� � . ,rr �� : � 1��£ � a � :�:} & �:� ' 3 :
<br /> ``�a..s 3' i y � - '� '_ ��
<br />� �� � ,� �-v&+, f ;+�� °3z '�n vb - r , � i '+�
<br />^�`.�,.�* i { ,n Y.'� ,,�'r ,:� � �', : � .: - g � +^�,+ � y i . . �5,
<br /> � ,.
<br /> ,� .�:x � �.�> -�:�C'�'a= �B'"*�°�"'�` ''� � �" �„�* t.,x" i .-� . . `� , "� �+9".x u'','�'�+�rs .
<br /> � �,&�v ,,-'t' ; s 1 �� `` �.w "^- � :k� �� �f
<br /> � 4 6� ` � :�. ��� � : '��'. ' .. . . .S"x Y_ _ -•4,
<br /> a- J R '. y. ,��. rr � .� y � � . M . ri�+y e �^';.�
<br /> �x,�µ_,, 'F 5 -a � �� "o-+. k.� LJ� -e"y '.��[. � _ �` . y '.
<br /> ��7• f '+_.s : ; K 1^+c� ,k , t . a n -� �. ;t'�1 �.
<br /> n�P�`�} x "r��FF{ ti� t ���'�^^W :r � .�s % .1� . _ .�1 %-e�'q�.. -F',�',
<br /> } g T ^S' '(" '{; j{�-� .;d d �I; ! w . .. �
<br /> '�1b 99. ��s "..f'T -, ��V�f .� �� �Y,N iT ..� . � ,� . . .�!E = �� 'a,
<br />� �lAwi,�h r�a�'�w3yA� $�: _ Y e�y'� �'.,y'�� � �'Lt's t�s_ . "3„'3a f ik�
<br /> �� � _ k.. .: 1 _�`'� h �k ' �,^y.�
<br />� ..�.st -�K t� � _
<br /> �y ; �-s� � A"� �. Y 3" � � �nF"�€'�,�" T�r yu' i y ..,c� S,�,
<br />�„yl p � .,�` •.� _ . . _ � �� ,n .
<br /> % ~ . F". ' . n
<br />��. x,'� ' '� i� . -�.`d �" ' �'a � µ � . . .�`��-. � # k�ie��;�. "�+:.�
<br /> ;� u � ��� � �I�.� t + 'L
<br /> F � '- Y }- �� - • h
<br /> � ,
<br />�s��'y � �,, ' � � �
<br />°� riA'r" �y7 ,.�� pi�� � t x�3t ak.A '� `i r` , � a•t } ^� x.� s,�."r `�S'.�"",�'.
<br />� �}fFYk 4 f o- i`h. � � 'f t . � .. ,g ' �S� ,�,a i ��g � ', "�'d ; �
<br />`�#'�'` ;i ' �i �t � tA*a.� ,�". � � w 'e S*$�.z '(;. �tA'^ -
<br /> �x,A�" �. L �� t 1` .: �."ya`� ;� - '�X�t.
<br /> �
<br /> � •
<br /> �. j L.
<br /> ,, ;
<br /> .L�»F v .y .,y,....:..'��S�. ..��.'�:+�4.c. ..
<br /> �
<br /> :.
<br /> vtk,..s��.;,�.� .,.r.a_��.� . .,f._... ,. . .; ,.........i._ .<. . _..' .nw.s. � :�.. < d..�f�`':,. _�: . � . .. .........:...�_...a,......�.. .
<br />
|