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�- a <br /> �ATIAG SYST�IS $15.00 per 50,000 BTU output <br /> FO� � nat. gas lp gas, oil, elect. <br /> other (specify if combination burner) <br /> �IIIP. (if more than unit per bldg. list each separately) <br /> NO. TYPE BTIIH IMPOT BRAND NAME MODEL N0. <br /> - f.a. furnace <br /> hw boiler <br /> unit h ater <br /> � �-, �a— cx, �►) G R 0 SG�N <br /> solar htg. p <br /> equipment <br /> Solar Equipment $50.00 each system Total <br /> *************************************************************************** <br /> AIR CONDITIONING $15.00 per ton air <br /> Central Air Separate Central Air System <br /> w/furnace <br /> Brand name Model No. Tons <br /> ' Totsl <br /> *************************************************************************** <br /> REFRIGERATION $15.00 per compressor <br /> Total Number of Compressors � Total <br /> *************************************************************************** <br /> VENTILATION $15.00 each project <br /> No. Ritchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locations cfm <br /> Total <br /> *************************************************************************** <br /> - --z- FOSL S?ORAG$_. mu st be agproqe by .fire. marshal),� .�;...� <br /> '°.'�` - ��.F���air�Gacv�����+�r��r� ,.n,_ .. <br /> � ��,� r ;���-a.�...�...w-.�..a <br /> $30.00 Permanent/Teniporary�'� � <br /> Fuel oil, gallons underground inside outsicle <br /> LP Gas, gallons <br /> Other <br /> ****************�********************************************************** <br /> GAS LINS INSP$CTIOR <br /> High/Low Pressure $15.00 <br /> *********************,��***********,x*�*****�****************�*************** <br /> ..: ,_ . _-_ ._ , , . - PERI�IIT FE$ CAI.CIII.ATION _. _ . __ <br /> 1. Total of above Installations or Minimum Fee (530.00 ) S ���� <br /> 2. State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ .50 <br /> 3. Plan Review Fee (65$ permit fee) � � <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ '�S, ,Sn <br /> -,C l,s 0 <br /> The undersigned hereby aFplies to the City of issuance of a Mecha s.c 1 <br /> Permit, agrees to do al 1 work in strict accordance with the ordinances of <br /> the City, and the regulations of the Minnesota State Building Code, and <br /> `� certifies`" that all -statements made on this application are complete, � true <br /> and correct. � <br /> Applicant <br /> �� Date 7� -g� <br /> � 3 �� <br /> � t <br /> � <br />