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♦ 1 <br /> . � � '� .. . � .. � � � � <br /> *WOOD BIIRNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireglace 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 lC 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 /> PSRMIT FEE CALCQLATION <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. Postaqe and Handling on all mailed-in applications, S 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 and <br /> the regulations of the Minnesota State Building Code, and certifies that all <br /> statements made on this a lication are complete, t�ue and correct. <br /> Applicant' s Signature- G'l�i� � Date: � <br /> � � <br /> � .. . ... . '^�. 6 . - / . . - � . . <br /> £. � . .. � 5 .. . � � . � .. . . � . , . � <br /> �` <br /> . ... . �..� � � . . . . . � . � � . . <br /> . .. . ,. . . �.. . . � . . . . . . .. <br /> �.� � . . ��. .. . � . .. � � . .. � . <br /> � � � . . .�� � { � � . " . � � � . � .. �.. <br /> fy, F. �y <br /> .:. i:; c . .-�� �. � � � . y:, . <br />