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,�t„ � � <br /> ; ' <br /> ` *WOOD BIIRNING $QIIIPMENT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireFlace with flue <br /> : Factor Fireplace (s) freestanding 1�Masonry <br /> " Wood Stove (s) franklin, other <br /> BrandName Model No. <br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> ******************************************************************************** <br /> VENTILATION $15.00 each project <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 /> ' $30. 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 /> ******************************************************************************** <br /> pERMIT FEE CALCIILATION <br /> l . Total of above Installations or Minimum Fee ($30.00) $ <br /> 2. State Surcharqe. Add the State Building Code Division $ .50 <br /> Surcharge to each permit <br /> ` 3 . Postacte and Handling on all mailed-in applications, $ 1.50 <br /> : 4 . TOTAL PERMIT FEE add lines 1-3 above $ _ <br /> The undersigned hereby applies to the City of issuance of a Mechanical Permit, <br /> x; 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 <br />- statements made on this a cation are complete, true and correct. <br />�: . <br /> i_: � <br /> Applicant' s Signature: ��z' � -1 Date: � �o � <br /> � <br /> :1 <br /> $` <br /> �� E <br /> i <br /> � _ ° <br /> _ <br /> ; <br /> � ; <br />� _ �; �' _ <br />, A� <br />� <br /> . .., ._. � ..� �... . _ , <br /> . <br /> �.___.. . ._a ._. <br />