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, . .:., �. � ._ <br /> • �� <br /> *WOOD BIIRNING EQIIIPMENT $15. 00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> - Factory fireplace with flue <br /> Factor Fireplace (s) freestanding 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 /> 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 /> GAS LINE INSPECTION <br /> High/Low Pressure $15. 00 <br /> ***ic�k�t****dcic*****it**�tic*****ictt*************7k*�k7k**�k*****ic********�k********�k*ic****i <br /> PERMIT FEE CALCIILATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ <br /> 2. State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> 3 . Postage 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 /> agrees to do all work in strict accordance with the ordinances of the City anc <br /> the regulations of the Minnesota State Building Code, and certifies that all <br /> statements made on this app lication are com�lete, true and correct. <br /> ) <br /> � �✓,;; ; � <br /> Applicant' s Signature: .___ � ��� �` fC�/"�� Date: Z3/�F�� <br /> �� <br /> � <br /> . � . <br /> � , <br /> � : _ ; <br /> � : <br /> � } � <br /> � <br /> i _ <br />�� <br /> , <br /> : <br /> .. , <br /> t ; <br /> k . �. . � . , . ._ _ ,.�_ _:r:_. ,- .- ....... .... .. ..._ <br />