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. , <br /> HEATING SYSZ'ffiKS $15.00 per 50,000 BTU output <br /> FUEL nat. gas, lp gas, oil, elect. <br /> other (specify if combination burner) <br /> $QIIIP. (if more than 1 unit per bldg. list each separately) <br /> NO. TYPE BTUH IMPUT BRAND NAME MODEL N0. <br /> �_ f.a. f urnace ��-�[7c:� "�� ��a -`��Nd'h'G��%yC�/�C- <br /> lil� . <br /> ��� ��«c� �?�/. Oc�O ���.L��f���f�c�r.i�— <br /> r r"`� <br /> unit heater <br /> solar htg. <br /> equipment <br /> Solar Equipment $50.00 each system Total <br /> *************************************************************************** <br /> �IR C+LINDITIONING $15.00 per ton air <br /> L�entral Air Separate Central Air System <br /> w/furnace <br /> Brand name Model No. Tons <br /> Total <br /> *************************************************************************** <br /> REFRIGERATION $15.00 per compressor <br /> Total Number of Compressors � Total <br /> *************************************************************************** <br /> VENTILATION $15.00 each project <br /> No. Kitchen 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 <br /> ****************,�********************************************************** <br /> GAS LINE INSPECTION <br /> High�/Low PLeGsure $?5.00 <br /> *************************************************************************** <br /> PERMIT FEE CALCIILATION . <br /> 1. Total of above Installations or Minimum Fee ( $30.00 ) $ <br /> 2. State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ .50 <br /> 3. Plan Review Fee (65� permit fee) $ <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ <br /> The undersigned hereby applies to the City of issuance of a Mechanical <br /> Permit, agrees to do all work in strict accordance with the ordinances of <br /> the City and the regulations of the Minnesota State Building Code, and <br /> certifies that all statements made on this application are complete, true <br /> and correct. <br /> Applicant Date <br />