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<br /> :;� *WOOD BIIRNING E IIIPMENT $15.00 each unit ' �:�_
<br /> Wood stove with f lue ��;
<br />�.'� Wood combination or add-on unit
<br /> Factory fire�lace 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. �� X 3
<br />- Total
<br /> ******************************************************************************** r.
<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 />�,,, �;
<br /> Total
<br /> ******************************************************************************** �
<br /> FIIEL STORAGE (must be approved by fire marshal) ;
<br /> ' $30. 00 Permanent/Temporary i
<br /> Fuel oil, gallons underground inside outside �`�:;
<br /> �
<br /> LP Gas, gallons
<br /> Other w oo� Gas opening �i
<br /> ******************************************************************************** �
<br /> GAS LINE INSPECTION �'�
<br /> High/Low Pressure $15.00 �
<br /> ******************************************************************************** �.�
<br /> PERMIT FEE CALCQLATION �
<br /> l. Total of above Installations or Mini.mum Fee ($30.00 ) $
<br /> 2. State Surcharge. Add the State Building Code Division �`
<br /> Surcharge to each permit $ •50
<br /> 3. Postaqe and Handling on all mailed-in agplications, $ 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, �r�
<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 tha� all �
<br /> statements made on this application are complete, true and correct. �''
<br /> �
<br /> d F�
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<br /> Applicant' s Signature: � �-� ,��� Date: S'��- 4/ �
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