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<br /> *WOOD BIIRNING EQIIIPMBNT $15.00 each unit
<br /> Wood stove with flue
<br /> Wood combination or add-on unit
<br /> Factory fire�lace with flue
<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.
<br /> Total
<br /> ********************************************************************************
<br /> VENTII.ATION $15 . 00 each project
<br /> No. Ritchen Exhaust ducted recirculating cfm
<br /> No. Bath Exhaust (must be ducted outside) cfm
<br /> No. Other Fans: Locations cfm
<br /> Total
<br /> ********************************************************************************
<br /> FUEL 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 /> GAS LINE INSPECTION
<br /> High/Low Pressure $15. 00
<br />********************************************************************************
<br /> P$RMIT FEE CAI�CULATION
<br /> 1. Total of above Installations or Minimum Fee ($30.00) $
<br /> 2. State Surcharqe. Add the State Building Code Division
<br /> Surcharge to each permit $ •50
<br /> 3. Postaqe and Handling on all mailed-in applications, $ 1. 50
<br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ _
<br /> The undersigned hereby applies to the City of issu��nce 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 C��de, and certifies that-all
<br /> statements made on this app lication are complete, tz•ue and correct.
<br /> �-� � � _ �}.
<br /> � ���� �,� , , -�-��� Date: � �//�/�
<br /> Applicant s Signature: � .�,��- �� ���c, � � ��, „�- �
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