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<br /> *WOOD BURNING E�UIPMENT $15.00 each unit ���5��
<br /> Wood stove with f Iue � -� �
<br /> Wood combination or add-on unit � " -'
<br /> �Factory fireplace with flue
<br /> Factor Fireplace (s ) freestanding �_ built-in ��
<br /> Wood Stove (s ) f ranklin, other ;��=�
<br /> Brand Name /-,�q�-�-��A�-� Mode 1 No. �,R.3(o AS �
<br /> Mfgr' s Min. , Clearances, side �„ , rear a " , min. flue dia. g" �
<br /> Total �
<br /> ******************************************************************************** �
<br /> VENTILATION $15.00 each project �
<br /> 4v,
<br /> No. Kitchen Exhaust ducted recirculating cfm '�'� ` �
<br /> No. Bath Exhaust (must be ducted outside ) cfm � ;:���`� ' `��`�
<br /> No. Other Fans: Locations cfm `�
<br /> Total �
<br /> ******************************************************************************** �
<br /> FUEL STORAGE (must be approved by fire marshal ) '
<br /> $15. 00 Permanent/Temporary ��
<br /> Fuel oil, gallons underground inside outside ��,����;' � �
<br /> LP Gas, gallons ';�
<br /> Other Gas opening �
<br /> ******************************************************************************** �
<br /> GAS LINE INSPECTION ;"�
<br /> High/Low Pressure $15. 00 �`�
<br /> ******************************************************************************** �'s�
<br /> PERIrIIT FEE CAI�CDLATION '�
<br /> ���
<br /> 1. Total of above Installations or Minimum _Fee (.$30.00) $ / . C�
<br /> 2 . State SurcharcLe. Add the State Building Code Division M
<br /> Surcharge to each permit $ . 5� , �° ,��; ,y � �
<br /> 3. Postage and Handling on all mailed-in applications, $ 1.50
<br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ . `�
<br /> �;
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<br /> The undersigned hereby applies to the City of issuance of a Mechanical Permit, �`3�
<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 k�;
<br /> statements made on this application are complete, true and correct. y=;
<br /> ;> ��,
<br /> Applicant's Signatu�r�`� �.. / ��g� ��, �..� Date: �
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