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<br /> ` � 5' i�'��'�'�''; 5,
<br />�WOOD BIIRNING EQIIIPMENl $15.00 each unit � �; ��:°�'����
<br /> Wood stove with flue ' �` �
<br /> Wood combination or add-on unit �� .�� z �'
<br /> Factory fireplace with flue . L-;� �.�;. �
<br />'actor Fireplace (s ) freestanding Niasonry - ��t#�
<br />�ood Stove (s ) franklin, other ��:; ��
<br />�rand�Iame Mode 1 No. ��`'' ��
<br /> ffgr' s Min. , Clearances, side , rear , min. flue dia. �
<br /> Total
<br /> ****************************��**** ******************************************** :�
<br />'EN'PILATION � ` ��0� $15. 00 each project �
<br /> � , _�
<br /> fo. r Ritchen�Exhaust ducted recirculating cfm �� � � ���
<br /> a�� -Y t
<br /> c fm �,�� r_���.,��� �Y-�
<br /> fo. � Bath Exhaust (must be ducted outside) t ��,,,� ,�s � �
<br /> io. / Other Fans : Locations �(-�e,l�' cfm r ��
<br /> Total �,
<br /> ******************************************************************************* �
<br />'UEL 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 />�AS LINE INSPECTION -" ` -�� �� �
<br />:igh/Low Pressure $15. 00 ;
<br /> ic�c*�k**yc�kyt**�FYcxycicic�lc�ir�cyi�al-tics!*skw�r*�•���;:x�*�'�':'t:}�`*!�:irick.. _ *�k***�cst�rir**ir****ir****ic**�t�t
<br /> P$RMIT FEE CALCIILATION <
<br /> Total of above Installations or Minimum Fee ($30.00) $ �. � :�
<br /> � State Surcharge. Add the State Euilding Code Division � ,, ������'��� I
<br /> . Surchar e to each ermit $ . 50 �� ���'°' � �
<br /> . Postaqegand Handling on all mailed-in agplications, $ 1. 50 �
<br /> �;
<br /> TOTAL PERMIT FEE add lines 1-3 above $ yo� �
<br /> . - �'he undersigned hereby applies to the City of issuance of a Mechanical Permit,
<br /> grees to do all work in strict accordance with the ordinances of the City and �
<br />.he regulations of the Minnesota State Building C.ode, and certifies that all
<br /> tatements made on this app lication are complete, true and correct.
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<br /> � �� '�� � :.�:
<br />,pplicant' s Signature. Date: � ��
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