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.;;._. . . .-:-,d...o,y_:.:-�.wt�—���...� . � '+�—•;a,yR,,.. . .. . _ ... , � . . <br /> �� � � . . .. . . ' .. � . <br /> �`.'-4 <br /> k x' <br /> C f� � � �'. <br /> 0' • y`', <br /> �'i n <br /> 3;,� <br /> *WOOD BIIRNING EQIIIPMSNT $15. 00 each unit 'L <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> �Factory fireplace with flue <br /> Factor Fireplace (s ) freestanding Masonry <br /> Wood Stove�(s`)� franklin, other � <br /> Brand Name� � �k �� 1 L R���. Mode 1 No. y a t� �1 0 __ _ <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 /> Nc. Bari� ExhaUst �r.iust be ducted outsi�e) 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 Minimum Fee ($30.00 ) $ - C�J <br /> 2. State Surcharge. Add the State Building Code Division <br /> Surcharge to each Fermit $ . 50 <br /> 3 . PostaQe and Handling on all mailed-in applications, $ 1 . 50 <br /> 4 . TOTAL PERMIT FEE add lines 1-3 above $ ��• C�f1 X.�oZ- <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 /> s;.at�:a2;�ts made on thi^ ��,j 1=c����^ zre com�IA+e, t.r.ur and correct. <br /> Applicant' s Signature: Date: 1 � <br /> � �_... - <br /> . ._ . , , <br /> . ., ,,, <br /> ,. ., � <br /> . " �Y� � � � . . . . . .. , ' . _ " <br /> . � . .. . .. . .. . . . . � _ " ' . . . . .}'_ <br /> * � .. . . ' . � - � � . .. ' , � . . <br /> � �: <br /> — . . �yR,•.. <br /> i.�J <br /> 6 <br /> et <br /> � f }i <br /> � ��{ <br /> t a <br /> h `. �.: �}..v3 •..:. ' � � � . — . rvi <br /> � i ) � £ A ��� <br /> # . �i ��F ta :•1 �e.. _ , _ <br /> � � ' �� <br /> �p — �_�: . . . � . .. . : . Fy,.�` <br /> � . • <br /> � . <br /> v. ' ,. �. ...� . . . .. . YS..fc�L.'�".ii.'r. <br />