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f, .. . ... ... . ..� <br /> r <br /> •� <br /> Y . <br /> i � *WOOD BIIRNING EQIIIPMENT $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 '� - -5�� <br /> ,: BrandName Model No. <br /> Mfgr's Min. , Clearances, side , rear , min. flue dia. <br /> Total 1 S" <br /> ******************************************************************************** <br />-: VENTI7�ATION $15.00 each project <br /> No. Kitchen Exhaust ducted recirculating __ cfm <br /> ' . i3o. �- Bath Exhaust (must be ducted outside) ��� <br /> , No. � Other Fans: Locations �=m ���: <br /> Total �-- (S r <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 /> PERMIT FEE CALCIILATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ '�,' � - � �' <br /> `` 2. State Surcharqe. Add the State Building Code Division $ .50 <br /> Surcharge to each permit $ 1.50 <br /> 3. Postaqe and Handling on all mailed-in agplications, <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ 3 � ��`G _ <br /> The undersigned hereby applies to the City of issuance of a Mechanical Permit, <br /> ' agrees to do al 1 work in strict accordance with the ordinances of the City and <br /> the regulations of the Minnesota State Building Code, and certifies that all <br /> ; statements made on this app lication are complete, true and correct. <br /> ` Applicant' s Signature: R Date: � � <br /> � , <br /> � <br /> � : <br /> ; , <br /> � <br /> , <br /> � : . : <br /> �; <br /> �. <br /> . �3. ; . � . . . . . . <br /> - ' . �s . . � � � . . . � . <br /> . . ��. 1 . . . . � .. . <br /> , � � . . � �" _t . . . . . . � . ' . , . . . <br /> . . � � . . ��. .� . � ' . . .. . . ,. . - _ . � . <br /> . . .. .� . � j.. . � . . . � . . . - � _ . � ' . . <br /> . . �1. �� . . � . . - ' � - . . � . <br /> � � . �. �. . �. . . � . � � . . .. � .� �.. <br /> 8C � <br />