1991-003676 - mechanical - Laserfiche WebLink

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f � 1 4 �� �� . ,1 , � . .. . . _, . , *WOOD BIIRNING EQIIIPM6NT $15.00 each unit Wood stove with flue Wood combination or add-on unit Factory fireFlace with flue Factor Fireplace (s) freestanding Masonry - Wood Stove (s ) franklin, other Brand Name Mode 1 No. Mfgr' s Min. , Clearances, side , rear , min. flue dia. Total ***********************************�******************************************** VENTILATION $15.00 each project No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhausic {must bc ducted outside) Gfm No. Other Fans: Locations cfm Total ******************************************************************************** FII$L STORAGE (must be approved by fire marshal) " $30. 00 Permanent/Temporary Fuel oil, gallons underground inside outside LP Gas, gallons Other Gas opening ******************************************************************************** GAS LINE INSPECTION High/Low Pressure $15. 00 j+******,�***�x**�r*************************************************************** PERMZT FEE CALCULATION 1. Total of above Installations or Minimum Fee ($30.00) $ `�a; `''' 2. State Surcharge. Add the State Building Code Division Surcharge to each permit $ .50 3. Postaqe and Handling on all mailed-in applications, S 1. 50 4. TOTAL PERMIT FEE add lines 1-3 above $ ��',/�l� _ The undersigned hereby applies to the City of issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the Minnesota State Building Code, and certifies that all statz�r�ents ma3e oz thi� arp licatier� are comp lete, t�ue and correct. ;. � � ' "�// Date: ��a " // Agplicant' s Signature:" � �' �� ;: � a f ' , �, t . � _ ` �. � - 1 - _ _ti_.�.... ___��___� ._ .