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<br /> *WOOD BIIRNING EQIIIPMENT $15.00 each unit
<br /> Wood stove with flue
<br /> Wood combination or add-on unit � �v�
<br /> Factory fireFlace with flue '����s� � "� ���
<br /> Factor Fireplace (s ) freestanding Masonry
<br /> Wood Stove (s ) franklin, other
<br /> BrandName Model No.
<br /> Mfgr' s Min. , Clearances, side , rear , min. flue di�a.
<br /> Total
<br /> ********************************************************************************
<br /> VLN'PILATION $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 /> �o� " $30. 00 Permanent/Tem orary
<br /> x Fuel oi1, 8� ! gallons �_ underground inside � outside .�
<br /> LP Gas, gallons ne R,�pU� �
<br /> Other Gas opening /t
<br /> ********************************************************************************
<br /> GAS LINE INSPECTION ��
<br /> High/Low Pressure $15. 00 �
<br /> ********************************************************************************
<br /> �
<br /> P$RMIT FEE CALCQLATION
<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. PostaQe and Handling on all mailed-in applications, S 1. 50
<br /> - 4. TOTAL PERMIT FEE add lines 1-3 above $
<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 tha� all
<br /> statements made on this application are complete, true and correct.
<br /> �.
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<br /> Applicant' s Signature: Date:
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