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<br /> *WOOD BIIRNING EQIIIPMENT $15.00 each unit
<br /> Wood stove with flue \
<br /> Wood combination or add-on unit �
<br /> _�Factory fire�lace with flue
<br /> Factor Fireplace (s) freestanding Masonry
<br /> Wood Stove (s ) franklin, other
<br /> BrandName �� �`� fi a L rx '� r�; Mode 1 No. �1-il��S��i o��
<br /> Mfgr's Min. , Clearances, 5ide �_, rear ;�'� , min. flue�dia. , � '
<br /> Total �,��C���
<br /> **************************************************************c *****************
<br /> VENTILATION $15.00 each project
<br /> No. Kitchen Exhaust ducted recirculating cfm
<br /> No. Bath Exhaust (must be ducted outside) cim
<br /> No. Other Fans: Locations cfm
<br /> Total
<br /> ********************************************************************************
<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
<br /> High/Low Pressure $15. 00
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<br /> PERMIT FEE CALCIILATION
<br /> 1. Total of above Installations or Minimum Fee ($30.00) $ • ��_�'' 30 ��
<br /> 2. State Surcharge. Add the State Building Code Division
<br /> Surcharge to each permit $ .50
<br /> 3. PostaQe and Handling on all mailed-in applications, S 1. 50
<br /> 4 . TOTAL PERMIT FEE add lines 1-3 above $ �� �a.Oc
<br /> The undersigned hereby applies to the City of issuance of a Mechanical Permit,
<br /> agrees to do al 1 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 /> 5�a�cn�Ei1�;; �Qdz oa �:-:is ��p'icatior. ar� ce*nplet�; true and correct.
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<br /> Applicant' s Signature��, n �. Q��- �'���d �"����� Date: h���� �1 I
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