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<br /> *�nTOOD BIIRNING EQIIIPMENT $15.00 each unit �
<br /> Wood stove with flue `'�
<br /> Wood combination or add-on unit ;�
<br /> Factory fireFlace with flue ' �� ��
<br /> Factor Fireplace (s) freestanding Masonry
<br /> Wood Stove (s ) franklin, other r`
<br /> BrandName Model No.
<br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. �
<br /> Total �ka
<br />******************************************************************************** �
<br /> VENTILATION $15.00 each project '`�
<br /> �t
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<br /> No. Ritchen Exhaust ducted recirculating cfm ,,t ��� ¢��
<br /> No. Bath Exhaust (must be ducted outside) cfm �, �.°` hfi�'
<br /> No. Other Fans: Locatior.s cfm �
<br /> —" Total
<br /> ******************************************************************************** ����
<br /> '�i
<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
<br /> $15.00 �n�-- �
<br /> *�k**ir�tyc**ic�t*�ix*ic�i*5r*ic**ic�t��cyr�r':�i.•»�'::'�'�'"��`'•�''-{{'k*ak�k*�F***ir***icicir�t�lr***�F*******�F***ir**
<br /> PERMIT FEE CALCIILATION f� '�
<br /> 1. Total of above Installations or Minimum Fee ($30.00) $ �J• ��
<br /> � -�:
<br /> 2 . State SurcharQe. Add the State Building Code Division '�'�j>� �g�
<br /> Surcharge to each permit $ • 5� 'F �*;
<br /> 3. Postaqe and Handling on all mailed-in agplications, $ 1. 50 :
<br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ ��.°9- °`���
<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 that-all �
<br /> statements made on this app lication are complete, true and correct. :_�
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<br /> Applicant' s Signature: Date: " I � � � r�,: �'�
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