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�- � � <br /> *WOOD BIIRNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fire�lace with f lue -_- �.r -.�r � � �� �. , _ <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. '3 /3 <br /> Total 3 <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 /> FIIEL 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 /> Hi��h/Low Pressure $15. 00 <br /> �*�***************************************************************************** <br /> PSRMIT FEE CALCIILATION ( � � ��, <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ `t <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 �-�=�-�' <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 app lication are complete, true and correct. <br /> Applicant' s Signature: T\ ��-�- ��"`'�"''�`- Date: ��6 � !�9/ <br /> +Y�,Y,". m n <br /> "1 3' �� : <br /> s. �,g���' y-e,� �:� � ;^ :� . .:�� 3 �'"� . '*,� ., { c'',�,�^- � � . 3 z� y�i �.: �L <br /> Ff- �)� � y�c � `.''�-F� �:" y rd� ��' � � `�'D '"'�a � � � <br /> � ` �e +'�,. � �^ � c� `�'-Y �-; ����d" � s . �'�` �.� '. EF �z+-� <br /> �:; �r-;. y'�-�, r '"#�..+'r ,,.� �c � �'-s „�� �.3s�` ,d'" �'�a,�. '� "''� *�$`� '�;,'�t . {^� ;. <br /> _ 4 �'µ �x��`�� `#,� �� �.t�,:Y�r� �'L' °�,��"r,:.. � .. € � -.?.�.,p'�t - q��:� � �����4 +�� � ���i _.� ._-{ � �� �. <br /> �9. � �r ;� �t�,;, i� � y y ��� <br /> ,, ^.; �,S r. �;t„��5�,��� .;i ".� -�,���k�, � �*�,: ,�,: 4 ?� w r ,,+ � y ,k' �. � � � �. <br /> �� �t�t�c E�J'�g. . ..3� � .. ��i � ,�� �..�c ;���,. ",�a�t s: aat:' '�y��r, �� � . �r �^,�,��e;." <br /> �'r ,+f �� � ;�� $�-�SsnE P4.�� � a.�.e� � =g��A�,y��.„t a *k � ��SQi y`�'� �a.� Y r' nlr'Ss.�.��.=�� �„ ���i :.�����. . <br /> '�`k.. a",3�,.� .s,�..i1Y� �`�: #k .. F *'�Y i t � -I",� � 3.�`�� �f :;� R' : : t �� <br /> .,s"� x� � 4� h � :� a �L.� E: �p�4 ' <br /> v� �� �� � .�k�r �t�r�sc�# �r�y�R. '�,�r '�"a`.Y,L., �r1:; t r F,*�'�C_�°� ��;�"�� �g �e"� �� <br /> �`. �Z'�#`� ��,�` �� ��'� T� �wk � ���a�.� 4�,^ ���� 4' b��r a�' � g'� }�`h ^ �zt�' � �` '� ��Sta��k.. <br /> !� �� '^N'Ae� A'S r" C 3� L�9 M P 1�A : +il" t!� ��,. �-„� � 'i�. A ���}��,'56,. <br /> � � ��$ �.� �� t d_, i ��4 �' ti� ai ic_ � �� t s�a k �P� a � . <br /> a'. t, �S �s�� ,� � � � k:` ; ",it'� �" �'..e$�,'f'��t F�d����s��s { . �a,.�' :."' � s�t�� i r�' fG Si�yr �r�� <br /> � ,,,g� � a 1 < 3�a �.. � �`�' ? � `� r l� Y`�c.��3c'.,,, .. <br /> R � '£y�i�-?'�� �^, ��'��� , �3 ����,tsX�-�;�'u � �`�;"� . iw !iJ�` - :8' �rt��a+�r,.� <br /> �r T� � t�'^Tv 6 . � �.Y �.t,� +�."¢ �Prr �'� } w a�; �_ �-"� �-a <br /> 3�'#+eb i'�c �';. � � � �"#� S 1 c„'��4+ � „�� '� ;��.f H <br /> x n'�i'"�-� ak ' x. �� �. . e.k z e.� # °,�s''�`�#��''" 4 . �qc � t �a <br /> 4� - �'.f"s.�f` . ,� ` . � � ''�'t� S y�'��.,� ,�q�-".d�,.�� .fo�+� `-+�� .t � � �. <br /> � �� �L ��l� '�.a4 : � +- 4r n`i - 7, ew` �:tu` '�C�$.+� �$�i��,���q r C � ;f <br /> �+z. �" � �.� ,4 �} ��'� .� �� k' � *�`iFr a�;s* �,�. �a� < : �'°'�� `°.,�. <br /> '� -... ✓,�� t ���� -, �� �i� �._3��" �,,��'.S'�y�J�r�,+� ` �s- �'' p ��" -. <br /> `t r� ,��� n°�° �.�jx �1' � ��. <br /> n��'. � _ ivx #�'i M �v'4 �;,'� ��/ � k.� ,�j a <br /> .. ,.. . . ''�...va»....�.,;s-ua:.�.'tvi..�r.-.tie�t��I6:_' <br /> "�.+n..�':'`... ' .. . .:is�.:.:z5ii'' .,..a._7e' �... <br />