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�TING SYSTffi�S $15.00 per 50,000 BTU output <br /> FIIEL nat. gas, lp gas, oil, elect. <br /> other (specify if combination burner) <br /> $QIIIP. (if more than 1 unit per bldg. list each separately) <br /> NO. TYPE BTUH IMPUT BRAND NAME MODEL NO. <br /> f.a. furnace <br /> hw boiler <br /> unit heater <br /> solar htg. <br /> equipment <br /> Solar Equigment $50 .00 each system Total <br /> *************************************************************************** <br /> AIR CONDITIONING �� $15.00 per ton air <br /> Central Air � Separate Central Air System <br /> w/furnace � <br /> Brand name ;r/�i�� ! i�G� � Mode 1 No. Tons ,;.� �] � �'i ,/ <br /> Total <br /> I I !/��7 . � `S <br /> *************************************************************************** <br /> R$F'RIGERATION $15.00 ger 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 a�proved 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/Low Pressure $15.00 <br /> **********************************************************************�***� <br /> PERMIT FEE CALCIILATION , <br /> 1. 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 $ <br /> The undersigned hereby agplies to the City of issuance of a Mechanical <br /> Permit, agrees to do all 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 thiSlapplication are complete, true <br /> and correct. (� � . <br /> � � � I � - �. _ �c <br /> C` ,� 1 � <br /> II <br /> A licant � �'�.� � Date � � <br /> rr 1 ,� � <br />