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; <br /> ��' � ' � _ <br /> , � ` '� <br /> � f. - ' <br />, : { <br /> r�.���.. <br /> � ,; <br /> *WOOD BIIRNING EQIIIPI�NT $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 Model No. <br /> Mfgr's Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> ******************************************************************************** <br /> VENTILATION $15.00 each project <br /> No. Ritchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm : <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 <br /> *********************�********************************************************** <br /> PERMIT FEE CALCIILATION <br /> 1. Total of above Installations or Mini.mum Fee ($30.00) $ <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, $ 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 /> � <br /> Applicant' s Signature: ���_/� � ��� !,r'�n� Date: �� � " � .�— <br /> � <br /> � : <br /> ". , � _ <br /> � � _ . <br /> , <br /> - � <br /> � <br /> � , � <br /> � <br /> � _ . � <br />