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. � <br /> _;�"'� <br /> _:..z._ .�..:,:_ ,�.�z� . , .,�._ z . _,..>::. , .r.d� _ ��., -x , ._� ',� ar��,� , , ��� >���t�a._ __ .�_, <br /> F� .-: t � " <br /> �.. . . . •� . . <br /> � <br />:n«�.. � ..'�:.'-. � _'- '_.'� .�... . - . '"., :�.._ . �. :. '. � .�,�.. ' ... . �. . . _. . ' " _ .-. <br />�WOOD BIIRNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireFlace with flue <br />'actor Fireglace (s ) freestanding Masonry--. <br /> Iood Stove (s ) franklin, other <br />�randName Model No. <br />[fgr's Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> ******************************************************************************* <br />'ENTILATION $15.00 each project <br />'o. Ritchen Exhaust ducted recirculating cfm <br />'o. Bath Exhaust (must be ducted outside) cfm <br />'o. Other Fans: Locations cfm <br /> Tetal �:-� <br /> ******************************************************************************* <br />'IIEL 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 Gas opening <br /> ************************** **********.*******'�'�********************************* <br />�ac T�,INE INSPFCTION Ur.l.� �-�e_ri,-�,�� C� r�-�,e.'r� "{ 1 r��,G.�. <br /> igh/Low Pressure � $15. 00 <br /> ********************************************************* * ****************** <br /> PERMIT FEE CALCQLATION <br /> . Total of above Installations or Minimum Fee ($30.00) $ 3U.OU <br /> . State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ .50 <br /> . Postaqe and Handling on all mailed-in applications, $ �50 � <br /> TOTAL PERMIT FEE add lines 1-3 above � $���'�` <br /> . � _ <br /> he undersigned hereby applies to the City of issuance of a ec anical Permit, <br /> grees to do all work in strict accordance with the ordinances of the City and <br /> he regulations of the Minnesota State Building Code, and certifies that all <br /> tatements made on this app lica 'on are complete, true and correct. <br /> L I ' J . <br /> pplicant' s Signature: � L�- " Date: ��--�,-��U g � <br /> : <br /> - � <br /> / � <br />� ( <br /> � <br />