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� <br />�. .. <br /> � <br /> � . <br /> e ' <br /> *WOOD BIIRNING EQIIIPI�NT $15.00 each unit <br /> Wood stove with flue <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 /> ,������ Brand Name Mode 1 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 `�Gt> cfm <br /> �; No. �� Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locations cfm <br /> Total <br /> �x *******************************************************************************� <br /> `" FIIEL STORAGE (must be approved by fire marshal) <br /> a<' . <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 $15. 00 <br /> *******************************************************************************,� <br /> P$RMIT FEE CALCULATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ <br />�� 2 . State Surcharge. Add the State Building Code Division <br />,, <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 />�'� <br />�. - <br /> j 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 app lication are comple e, true and correct. <br />� �` / <br />� , <br /> � ,�>. <br />�;��� Applicant' s Signature: � L�l�' � �Z��---�� Date: :�C- <br />��A <br />� <br /> ;` , <br /> x� . . f . . � . . . . . . � . . � .. . .. <br /> a �.��� ' � . ..i i � � ' . �.. .. . . '.�� .. �. ._ - - � �'� ' � . .. .. <br /> . � <br />� " ..�. . . . ' :. i . . . . . . . . .. � � . .. �: <br /> jx,c; � .. ... . . <br />�� . ! � . . _ . . . . . .. .. . .. . . ' . . . <br /> - . . g . . � . � � . . .. . . . <br /> � . . . � � � � : � . . �. . . . . . . � <br /> t� i . j .. - � � ... _ . . : � � . . : - . . <br /> r <br />;� . . }} �� � . . � . � . � � � . � . <br /> . , � � _ . � . , � � s <br /> , .. � . <br /> . . . , ,� , .. .. . . . . . <br /> „�:..� , .:.� ; . . f ' {i .�_, ,, .:. . .. . . . . . .. . . . .. . . . , .. .... :_ <br /> �i _ . . .. . � . , , � <br />. ,: _� . . � .. � . . . .. � . , � 3 <br /> :; � �.� f � .. . . . � . �.. . . . . <br /> k . � . . . . . . . . . ., . <br /> ` . i .. . . . . . . .. � . . , .. . <br /> , ,: , <br /> � r:� v..U...r� . :,. .. .t � :�. <br />