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. - <br /> ,� <br /> �ATING SYST�S $15.00 per 50,000 BTU output <br /> FQSL � nat. gas, lp gas, oil, elect. <br /> other (specify if combination burner) <br /> BQIIIP. (if more than 1 unit per bldg. list each separately) <br /> NO. TYPE BTIJH IMPIIT BRAND NAME MODEL NO. <br /> f.a. furnace <br /> hw boiler <br /> Z unit heater l: loo MoD�NE �g_ ISD, PA �oo sx�S=�s <br /> � . _ MV�� 393�1��o IND, AiRsYST'E.MS D�c �ii'i- BxtS - izv <br /> solar htg. <br /> equipment <br /> Solar Equipment $50.00 each system Total - �q S <br /> *************************************************************************** <br /> AIR CONDITIONZNG $15.00 per ton air <br /> Central Air Separate Central Air System <br /> w/furnace <br /> Brand name TRA��- Model No. YcDo60ft3H Tons � <br /> TRAN E -rr� ►-zog3 � o Total IS x�S= ZZS <br /> *************************************************************************** <br /> �G��pg $15.00 per compressor <br /> Total Nwnber of Compressors � Total <br /> *************************************************************************** <br /> VENTILATION $15.00 each project (bo0 <br /> No. �tchen Exhaust ✓ ducted recirculating 2'Fsd cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. �_ Other Fans: Locations pvElJ Soo cfm /S <br /> Total <br /> *************************�************************************************* <br /> FOEL STORAG$ (must be agproved by fire marshal) <br /> 530.00 Permanent/Temporary <br /> Fuel oil, gallons underground inside outside <br /> LP Gas, gallons _ _ <br /> Other ° <br /> ****************,�************************************************�********* <br /> GAS LIPB INSPBCTIO�T <br /> High/Low Pressure $15.00 <br /> �x*��*****���**�*******���************************************************* <br /> PffitMIT FBE CALCIILATIOiN <br /> --- -1. -- Total of above Installations or Minimum Fee ($30.00) � _. $ �"3S�O0 <br /> 2. State Surcharqe. Add the State Building Code Division <br /> Surcharqe to each permit $ .50 <br /> 3. Plan'Review��Fee (65� permit fee) .__ _ -�-�� =- S 2�2�'7S - <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ ?1 �,�-S <br /> _. . ___ _. _--- -- <br /> The undersigned hereby applies to the City of issuance of a Mechanical <br /> Permit,� agrees to do al1 work in strict accordance with the ordinances of <br /> T4, the City _and the regulations of the Minnesota State Building Code, and <br /> certifies that all �tatements made on this application are comp lete, true <br /> and correct. M, ._ .. _ - �- : <br /> . . . . _. - . - . . _ . . • - � ,x �-. <br /> Applicant Date ��I���� <br />