�- � �
<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/
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