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_. �Y . i� .: .y��'t�,N..��. , .. ,�.�.— . . . . �,- e.,e . . <br /> ,.�.:., .. . :.. .�. _ . r . . <br /> � ... . . � ". ._ ... <br /> f � <br /> �, ,4; <br /> '3:3; <br /> *WOOD BIIRNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> ; Factory fireFlace with flue <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 /> 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 /> Total <br /> ******************************************************************************** <br /> FDEL 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 �_ <br /> ******************************************************************************** <br /> pERMIT FEE CALCULATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ ' <br /> 2 . State Surcharge. Add the State Building Code Division �g <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 $ _ <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 app lication are complete, true and correct. <br /> /�� � � t� <br /> , Ci�.c't�-�J Date: �� <br /> ` Applicant s Signature: ��� � // <br /> �.� '. � . <br /> . <br /> , � . . <br /> * <br /> � <br /> � <br />