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� ; , . 11i t=1'�,'9=.' 1�t:55 THE i=I T'i' UF LIROh�IL� r 1='-47�-i�5 i ���-i:'
<br /> � � 1�-�'�\
<br /> J�� ��:;��I�� . �
<br /> $15. 00 each uni
<br /> *WOOD TsUItNYNG I� O�PMSNT Waod stave with �lue.
<br /> Wood comb�.nati.�n or add-on un�.t
<br /> �r�ctory �xre�lace with fl.u�e
<br /> Ft�Gtor Fireg�ac� (s} ,_,_ traestan8inc� �,_ M�snr,ry._..
<br /> Wood Stave ( ? � franklinr other
<br /> Brand Name �;.,�P�`��r'R-- ___ Mode l No. �13 `
<br /> Mf z's Min., Glea��nces, sXde ��, rear ,�,,,r� min. f�ue dia.
<br /> g Tvtal
<br /> �**,�*****�*****rr�,�*****,�*k***xxx************�*,�****,+,�******��******************�
<br /> YENT�LATION $15. 00 eaCh praj�ct
<br /> No. K�.tchen Ex2iaust nuc��d recircul�ting ,.._ c�m
<br /> No. ,_,,,� �&th Exhaust (must be ducted outside) --- cfm
<br /> pp. � Other Fans: Lo�$tions TOt�}.
<br /> ********�r�*****�************�*****************�t*,�*****,r,�r�****��rx***,�*******w****
<br /> ,p�SI. S7'OItAGL tmust b� apprav'�d by �ire m$3Qh00,Pex'manent/Tempor�ry
<br /> Fue� oil, gallons � undergxound � inside outside
<br /> LP G�s� gal].vns
<br /> �..- O'�h�r Gas ap�ning
<br /> ****�**�***************�*r�*****�r*****************�,�***�*************,�r��*********
<br /> C�1S LI� INSP�CTION $Z 5 .0 0
<br /> �igh/Low �'ressuxe
<br /> �tir**ir*ictlr***�t**tF�tyt*�k*,t**�k�k*�ir**ic�AA•***it*irir*ir***irit�t*yt�*�e**ic1�r**ic***Y�****�t*�k*****�t,kMc
<br /> PSFiMIT FEE CAI.COI,ATZON �
<br /> i . Total o£ above Inst�XlatioState Bu�.ding�Code�D�vision $��-
<br /> 2, gta�e Su�charge. Add the $ .50
<br /> &urcharqe to eAch permit 1,���.tians, $ �- ��
<br /> 3 � Qos�� � and H�ndlin on ail mailed-in app - � � _
<br /> 4. TOxAL PE1tMxT FE� add l�.nes 1.l3 abov� ���•_.�'-=-
<br /> Th� undersi.gned hereby appl.ies to the City of issuance Qf a M�chanica�. pe7C1ri�.�r
<br /> agrees to dc� all work i.n strict accax���Bu Zding Code,�and��erti�i.es th�.� la
<br /> �he regulatia»s of the Minnesota St
<br /> ��atem�ntr made an thxs appJ.ication are comp����, true and correct.
<br /> `=' � Dat ����- �'
<br /> A�plicAnt' � Signature: �� �-•.�,-,,:
<br /> ./ _c`' �
<br /> �:,w� � t�
<br /> S^ � 1
<br /> �c��tsC=��� � � �
<br /> MIDWEST FIREPLACE C�t� _ __ __
<br /> 52d5 S1AT�NWY. 169 N, °
<br /> PtYMOUTH,MN 5544�, NOV � 0 =cg92
<br /> �6�z��-ssoo�
<br /> � !�. II� �a.�C, ��'1�ec-�---- �``�-
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