|
�+ s.a' 'YR ._�_ . rv�." saxv» •� � '�
<br /> � .� ¢ ` +5�n.� �_ �� x .c�w��,
<br /> q �.�t�:;� x; ✓�3�p r'u'' ,a �'d„' . � � ��`�� �
<br />� � � � � ¢ � � _ � .
<br /> $ �} � f
<br />�'t� � , .� � �.t����i r ;4,�� �t�, . ' _ �
<br />� " y� � ��: � ;�
<br />� „��;;, �� �� • - -
<br /> f,. � -- �. �.:
<br /> � �,
<br /> � � �..,
<br />��� ��� ��
<br />�-� *WOOD BIIRNING EQIIIPMENT $15.00 each unit ���' �$�;
<br />� Wood stove with flue '�x� '`
<br /> � � �
<br />�.; ��������
<br />� Wood combination or add-on unit �,� ,��
<br /> Factory fire�lace with flue `� "���� '�, �.
<br /> Factor Fireglace (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 /> VENTILATION $15.00 each project °�
<br /> �No. Kitchen Exhaust ducted recirculating cfm � � �
<br /> No. Bath Exhaust (must be ducted outside) cfm �'�".• `s ' -:
<br /> . �,a
<br /> No. �ther Fans: Lccations cfm ��.
<br /> Total �
<br /> �
<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 /> �.
<br /> GAS LZNE INSPECTION �� v � �!.
<br /> High/Low Pressure ���P��� $15.00 �
<br /> y��***t*���f***:�**�************************************* ********************* �,
<br /> ^*^ P$RMIT FEE CALCULATION 3�
<br /> 1. To
<br /> tal of above Installations or Minimum Fee (530.00) $ �� .�
<br /> � 2. State Surcharge. Add the State Building Code Division � ` �`�
<br /> S n' ;
<br /> Surchar e to each ermit $ . 50 , �
<br /> 3. Postaqegand Handling on all mailed-in applications, S 1.50 ,� ,� '�
<br /> 4. TOTAL PERMIT FEE add lines 1-3 above $
<br />.. �;
<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 aIl :3Y
<br /> statements made on this appli tion a e mglete, true and correct. �"`
<br /> , -�
<br /> AFplicant' s Signature: Date: Mav 21, 1991 .,�� ia� j :
<br /> z
<br /> �� � �� ,
<br /> � ��
<br /> �. �
<br /> �R�S �� �° `,� }��: ` �', f ,�'-'x.� '�"�°Ffr.�.: ��.���
<br /> .�s• ;:� Y � - � .� '��-��r
<br /> � � � � I. � ,�� ��
<br /> ]h
<br /> � �y et' y: .r . - � :
<br /> 1 1 � ?
<br /> 2 �.{�'� � - +�.�}i��,
<br /> 1 t,� y � i � ._ 1?1f��i �
<br /> t � � i �r r �� �M " �
<br /> � � a .r a �` ��
<br /> �: , �-
<br /> �' .. . * ��i r R .,.�i �r �- �:' �� ��ia � _ � ,�`a+r . � �•: � � "+h _ a"n�
<br /> �� = � �� �� � �f �� �
<br /> �,��t .- t � ��"r 1 ° - r ��
<br /> '-� u � t � �' ���� � � ^:a-
<br /> � ,,�
<br /> � �, r ,
<br /> r
<br /> n � � � z � ,„;,� � �- , ��;.x�. _,�
<br /> � y� � :� ,; y� �� y _ � . z ,�
<br />��� � u S #�'� {� � 4 ���
<br /> 5'�r �+ Y3 E 'l �,T•
<br /> l� � :�,} ,"r �� k..�
<br /> �� ��� % � � �'� t �y R .�i
<br /> y j �
<br /> µ , �. . ; 3� � b � +� " . ; � e`, h CY_i
<br /> � ; � . "` 'y -� ' � .. L s�i ?
<br /> �' x� . • ,d-'iz�
<br /> �'zx�",..3.�.,..:.� �. ..��,.A.us#s.!.,3....... .x...,�vs:�...±...- _+.��_.,.�.� x 'k... ....�. �... _ :t�,. .v.', .. . . .... ,. ,...... .... .. . ... _� .r.�_9 4 _ .... . . ..........��ia..,... _..e, '�.iaa�.�
<br />
|