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<br /> *WOOD BURNING EQIIIPMENT $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 MasQnry
<br /> Wood Stove (s ) franklin, other
<br /> BrandName Model No.
<br /> �
<br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. �'
<br /> Total �
<br /> ******************************************************************************** �
<br /> �
<br /> VENTILATION $15. 00 each project ,�
<br /> <� � ,� ,,�+ ;
<br /> N��� '1 a� 4% k�.. Y.
<br /> No. Kitchen Exhaust ducted recirculating cfm �.�� _;� , �,�
<br /> No. Bath Exhaust (must be ducted outside) cfm Y �
<br /> No. Oth�r Fans: Lccations cfm '� '
<br /> T�tal
<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 /> ***�•r,******st*************************�t****************************************** `
<br /> �;
<br /> GAS LINE INSPECTION
<br /> High/Low Pressure $15 . 00
<br /> ********************************************************************************
<br /> P$RMIT FEE CALCQLATION �p
<br /> 1 . Total of above Installations or Mini.mum Fee ($30.00) $ 60 . 00 ,;,,
<br /> 2 . State Surcharge. Add the State Building Code Division �y��- -��,• :
<br /> Surcharge to each permit $ . 50 �`�
<br /> 3 . Postaqe and Handling on all mailed-in applications, $ 1. 50 �
<br /> 4 . TOTAL PERMIT FEE add lines 1-3 above $ ti� nn _
<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 application are comglete, true and correct. �
<br /> � � �
<br /> ;' ` �
<br /> Applicant' s SignaturP• � —,� ��� Date: �? ' CJ _ ��' ��,:- ��
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