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<br /> s ' *WOOD BURNING EQIIIPMENT $15.00 each unit �. ,; � '��
<br />�, Wood stove with f lue �� ` `' �
<br />�, Wood combination or add-on unit �' �
<br />°T Factory f irep lace with f lue ` `� � `" �'
<br />�� ' Factor Fireplace (s) freestanding '�Masonry �
<br />�`' Wood Stove (s ) franklin, other
<br /> Brand Name Mode 1 No.
<br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. ��.�/��
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<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 /> FQEL STORAGE (must be approved by fire marshal)
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<br /> w� $30 . 00 Permanent/Temporary
<br />�= Fuel oil, gallons underground inside outside �
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<br />�-� LP Gas, gallons
<br />�� Other Gas opening
<br />��e� ********************************************************************************
<br />°>�> GAS LINE INSPECTION
<br />�. High/Low Pressure $15. 00
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<br />� PSRMIT FEE CALCULATION �
<br />�'�: 1. Total of above Installations or Minimum Fee ($30.00) $
<br />��=; 2 . State Surcharge. Add the State Building Code Division :� k � �`� ,� �
<br />` � Surcharge to each permit $ . 50 ,�`� �, `��'�` ��
<br />�+ 3. Postage and Handling on all mailed-in applications, $ 1. 50
<br />���: 4. TOTAL PERMIT FEE add lines 1-3 above $
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<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 andf�
<br /> ` the regulations of the Minnesota State Building Code, and certifies that all ;�
<br />��=: statements made on this application are complete, true and correct. �
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<br /> Applicant' s Signature: Date: ��`�/'�/ � , �
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