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-- • • -• •• � v����. ...... v�i ��rw IG.�( � .V.7/V� IVV.7L1 <br /> � � . FiREpr.. _,��r_c� � . � . ' - t <br /> � � � � � �. Gaa fiicc::fnry tireplacc .. � <br /> _ � Wa�d.burning factory fireplAce with flue <br /> .�{)i)4� �EflVC <br /> -.—.- . <br /> . wWE� SiOVC W1[�1 fllle <br /> �D�ttnd Nam�. Mcxlei N�. <br /> VENfILATIt)N . . <br /> ,��:: �- � Kiuhen�xhuust ducted recirculatin� cfm . <br /> No�. r Hath �xhaust (must bc ducted oucside) c� <br /> l�Fo.. __ Uther Funs: tocatipns � �.� <br /> LL'Lr-}, STORA�F (MUST BE APPRUVED BY PIRr MARSI�AL) <br /> `lnstaUatiot� -- Restu�v&{ <br /> Fuel:oil_� sallo� undcrground inside autside <br /> Lp ahs: �-- �Arions <br /> Othcr Gas c�penuig <br /> -----�- <br /> ���Y�t:rC�•��i CL1LA'�ION. <br /> 1.. 1.�5% of C�ncract Price'� or � <br /> � <br /> �x .t}t2.5 � ; 1 <br /> (conuact price� _-1.� <br /> 2. �tat�. urchatge �'�*Add the State Buitd'uig Codt DiviSinn <br /> : �urchargc tu�aeh permit. x .00US $ � � <br /> �r $.Sq; whiche`ver is greater (runcracc prlce) . <br /> � 3. t'��s gc an �lIIS�liLlg � (Only mail-in applications) .� 1_SO <br /> . 4. TQ�AI�NERMTI'FF,� (Add lities 1 3 abovc) $ _��'"�.��'?—� <br /> ' COI�IT�ACT PRICE ir�)08.COS'F means Elt�a�:tual or rscimaud dollar�tnc»2nt charge�fcu.the prtruittrd <br /> wurk incIuding maccrials,labor,p�oftt,atui attiet fixecl cosis, It is ctie$niauat to be etirrged to t!►c cuate�mer <br /> � ' !ar the wtuk di}ac. .I€any r�aterls�, rqu;p�aent;�labor, or irKral}atiaa uc funti�ked by.tbc olvrrcr.unant ar <br /> any pther pacry the rra�ot�aMe market valut«e yuch iteau must bt acitirdl eo the atimateii cost or contsac� <br /> : pr�ue tiir petmit fee purpdsrs. .In tl3c event thai t#ierc is e dis�wtr nn tbe arncwrx ef thc job cosr,the Ciry rr�.1y <br /> , requesi 1hc ewhmieaiun uf a�igncd euPy c�f the actnal concract. <br /> "* "ll�e'�STATE SURGHARGF ia..0005 of the cnnvae[prier uader S1,W0;(�O nr .�.50• w6ichever is groater. <br /> . Fo��alu�ciaus ovcr S 1.�O;ODQ cell.tbe Departpunt i�Iaspec�ir►nal-�crvicex fai ehc prica. <br /> � T1K undersigned hereb�app�ies tn[hrCity for issuane�vf a Mechartic-�t Permit, �agreey to d�a!1 <br /> work�in:strict'acL�i�da�ice with tlie �xrtlinanc�s 4f�(he Cscy a��d the regulatiorts af the Minne�sota <br /> � , � ;itate Ii�iitding C.�e, and ce:�ifies� atf st�tement� made an chis apgticacion are complece, true <br /> :�and correc : . � . . <br /> . . � . ���.!�Plican s Signa � � �3at�: CI� <br /> � . �.ap�F�,��a�sy:� � �: � : <br />