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� . _ � _ ,�_�'� ; � <br /> ' ' � �- x `' � � <br /> _ . �,,t ,�� - �� �=��: <br /> ��._ `,. � <br /> � , �. � <br /> � r :. <br />�r �fi.� ,�� "'�`"�.., �. , �.� <br /> � ���, �'j ~� +�q Y �� <br /> 4 �y, c � <br /> $ FH€S a ; s <br />�3 � p'pq � . �t . 3,Fdl ' Z � . } \ <. <br /> Y . Y.��� ��R`,w�.f. t � �'� �' <br />&^+A .. . . �� �..1f r , ' � s• � . .. �"� ( <br /> :=Y <br /> r$`v � <br /> *WOOD BORNING EQIIIPMENT $15.00 each unit �� � �.; <br /> Wood stove with f lue �' : " -� - ' <br /> >�,� <br /> Wood combination or add-on unit � � � <br /> Factory fireFlace with flue . <t#��-- �`A' <br /> Factor Fireplace (s ) freestanding Masonry - � - <br /> Wood Stove (s ) franklin, other <br /> Brand Name Mode 1 No. <br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. � <br /> Total � <br /> *************************************************,t****************************** '>:;'� <br /> VENTII�ATION $15. 00 each project <br /> No. Kitchen Exhaust ducted recirculating cfm ����� `� <br /> �o. Bath Exhaust ;r.i�,zst bA d�:c*e� �ut�i_d�) cfm <br /> No. Other Fans: Locations cfm <br /> Total <br /> ******************************************************************************** - <br /> FIIEL 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 /> � <br /> �� <br /> GAS LINE INSPECTION <br /> High/Low Pressure $15 . 00 <br /> *******************�c*�***�t**x�rx�x�*****�t*��t�*�*x�*�t�*�**+�**�*:t***��*********** <br /> PERMIT FEE CALCQI�ATION � <br /> l. Total of above Installations or Minimum Fee ($30.00) $ 30 . 00 � <br /> .�„_ �, �- �„ <br /> 2. State Surcharge. Add the State Building Code Division y;,�-� ��� <br /> Surcharge to each permit $ • 50 ' ��`�x� <br /> 3. Postaqe and Handling on all mailed-in agplications, $ 1. 50 �� <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ 32 . 00 - <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 A. <br /> x, <br /> �tatemQ.^.ts m�de en this ap�1 ; ��.t.iQn �r.e camp lete, true and correct. <br /> � �� � <br /> � .. <br /> Applicant' s Signature: ' �. - 9 Date: � /� � A=� ; <br /> �� �i � �..f ' �.,¢ ,� <br /> / Y �Y` . � <br /> a � ,; <br /> r*r;x. <br /> - �!T; ✓ . . � . '�' `.C''� Y .���, �$ . <br /> 1 t 4f r. <br /> +: y � <br /> ` �S�" "* � � <br /> ''.kkMk' i <br /> h • <br /> .1 .�. c. � � � '�ii..L. <br /> � t A J-; ' �t ' . � .�5� F <br /> � } <br /> t� � � #+� ' �,4 y� . . <br /> � �, - � ,��•3n; a r <br /> � y� '�' .�� � ��_; <br /> '` � �� "+�h' � v.�'�.�3 �nr �. .r <br /> �: tx, � #'.� 'a �F R a���� ��� <br /> i . ���ti b�:�-£ t ��: � k ^75 P `� .: - � _ � F' - ,�� <br /> rv � �� �.� <br /> � <br /> � 4-�` W st�i»f- yg-' � �, s _ ' �+� � � r � ��- �i <br /> y ',k .S FF+� � 9 tT . . � z � <br /> . yJR'r£ � � .c�~ y. . . �y,�t�'F�� <br /> .�„�' �»�" � ' � ` t •� -�*•�.� � x a$4 <br /> s . ": •"� � ''�` ,� <br /> ^k,$c".,�:, � _ : .j d : ,ti >t�Y` ��, ���. <br /> 1 f� r y T .,s �' ' a$ 11 <br /> � � a `S <br /> � -�Ti " a• i3. �,,� 3,k . <br /> Q` ��,�� <br /> y � . ,�� � . " .. � �t . <br /> �t' ,s."`.�',y �:a . _. � r <br /> ��� � � '�,,: { ` ' � . <br /> F .,�� Y .�i $.� <br /> '� �#� � �L� ,y ����x�� - ��r ��"� .� 3�. <br /> lk�l{g 'rY� S �. .�r W� i 'CyT'�i�: - �f'.�'4 .AF� . +RS ./�.La. <br /> �� �+ � ��z' '`��-` an .u,. � �- :; s� .. �„''w°��_. �-a:� <br /> 5 <br /> , �- � _� ' „K - . 4 � r� <br /> ,. '�+k'�h � ' � ��e.w .yw .<; <: ,..�• .. � s . "� �a-�:.^aa 4. �.�- �„ �ti <br /> ._,.�_�'�7�c�.. '`:.���m.�.. �. �,`�r _.,���� �:.� .. 'si e n _ . _ . .aa �". '_ .. .�;����� . ...�..�.,. . .'�.��.�...a — . _- _ - , <br />