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� � <br /> HEATING SYSTEMS ���/ (:�v� � ��` J $15. 00 per 50 ,000 BTU output <br /> FIIEL ✓ nat. gas, lp gas, oil, elect. <br /> other (specify if combination burner) <br /> EQIIIP. (if more than 1 unit per bldg. list each separately) <br /> N0. TYPE BTUH IMPUT BRAND NAME MODEL NO. <br /> f.a. furnace <br /> hw boiler <br /> unit heater <br /> solar htg. <br /> equipment <br /> Solar Equipment $50.00 each system Total <br /> *************************************************************************** <br /> AIR CONDITIONING $15. 00 per ton air <br /> Central Air Separate Central Air System <br /> w/furnace � 5� <br /> Brand name (�„-, �, o � Model No. � L S I(n� �1� Tons ��`{� �'1 � <br /> � Total <br /> *************************************************************************** <br /> REFRIGER.ATION $15. 00 per compressor <br /> Total Number of Compressors 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 /> 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 <br /> *************************************************************************** <br /> GAS LINE INSPECTION <br /> High/I�ow Pressure $15.00 <br /> *************************************************************************** <br /> PERMIT FEE CALCDLATION <br /> l. Total of above Installations or Minimum Fee ( $30. 00 ) $ <br /> 2 . State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ .50 <br /> 3 . Plan Review Fee (65$ permit fee) S <br /> 4. TOTAL PERMIT FEE add lines 1-3 above ��c,; , , � <br /> e undersigned hereby applies to the City of issuance of a Mechanical <br />� ermit, agrees to do al 1 work in strict accordance with the ordinances of <br /> the City and the regulations of the Minnesota State Building Code, and <br />� certifies that all statements made on this application are complete, true <br /> and correct. � �.-� <br /> % <br /> Applicant Date ����J`�� <br /> J <br />