� . _ � _ ,�_�'� ; �
<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 />
|