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3-31-1998 5:07Ph1 FROM FIRESIDE CORI�R 612 633 8884 P. 3 <br /> . � � <br /> 1 <br /> WOOD BUR1� v'� G EQU�PA'�-'�� <br /> ^� Wood stove with flue "' <br /> � Wood combination or add-on <br /> Factoty fireplace with flue <br /> _� -�Factory Fircplace (s) Froestanding Masonry <br /> Wood Sto�e (s) Franklin, other <br /> Brw l�,amc Moaei No. � 7��. — � �h� <br /> Mfgr's Min., Clearances, side , nar , min. flue dia. <br /> Total <br /> �'El�'T ATIOI�' . <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> No. gath Exhaust (must bc ducced outside) �� <br /> ( No. Other Fans: Lo�ations �� <br /> . Total <br /> � <br /> � <br /> TO E (MUST BE APPROVED BY FIRE MARSIiAI-) <br /> Installation Rcmoval <br /> Fuel oil: galloas underground inside ouuide <br /> LP Gas: �, gallons <br /> Other Gas openi�ng <br /> PERMTX' FEE CALCULA,T�pr' , <br /> 1. S.25% of Contract Pr'�ce* or inimu Fee 153�.�Q� <br /> fl[�,� x .OI25 � �cx�� <br /> • � (coatracc pricc) <br /> 2, S �e urc� *'� Add the State Building Code Divisioa �� <br /> Surchargc to cach permi,t_ x. .00QS � <br /> I (connact price) <br /> or $.50, whi�chevez is grcaur <br /> 3. Posca�e and Handlin� (Only mait-in applicatiozcs) S • <br /> 4. TOTA�.. PERIv�T FEE (Add lines 1-3 aboVe) � 35'•ss <br /> � * CON'I'RACT PRICE or JQB COS�'meaas tbe acnial or estinnated doUar amounc charged for ti�e permicted <br /> � work iacluding mateiiais, labor, profic, and ochcr fued casts. It is che amounc to bt charged � che <br /> � customer for the work dona If aay macerial, �quipmm�,laber,or inscallatioa arc furaished by the ownor, <br /> � c� or auy other parry tbe reasoaable market value of such isems muss be added co ch� estimaLr,ci cost <br /> I or conuact prix for permii fx purposes. Ia tbe evenc ihac chere is a dispuu on the amouat of tha job cost, <br /> the Ciry�ay requ�.ct the submission of a signed copy of cbe accual eonuacc. <br /> I *"� The STATE SURCHARGE is .0005 of the eontract. price uader S1,000,000 or 5.5� - whichever is <br /> ( grea��, For valuations over 51,000,000 ca�l t�Depasrment of Inspectional Szrvic�s for the price. <br /> '�he undersign�d hereby applies to the City for issuance of a Mechanical Permi�t, a�recs to do <br /> � alt work in strict accorc�anee with tbe ordinances of the Ciry and the re�,ulations of the Mxnnesoia <br /> ! State Building Code, and certifies that all statements znade on this application are complece, nue <br /> � and coaec� <br /> � Applicant's Signam : Date: S <br /> Approved By: Date: <br />