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�.��;,�.._��. r,-.��_�,.,.,� <br /> �'� <br />�� • � <br /> J <br /> `:�; <br /> *WOOD BIIRNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireFlace with flue <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. <br />; Tota1 <br />�:: **********************************************�********************************* <br />�: VENTILATION $15.00 each project <br /> No. � Kitchen Exhaust ducted recirculating cfm <br /> No. 5 Bath Exhaust (must be ducted outside) cfm <br /> No. Z Other Fans: Locations �0�� V �--�'� . cfm ! 5-` G � <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 />:±:"`•' 7t�k***k*7k********�k�ck*�t***7k*k****7k*****�k**irk****�h***********7Y***7k*k*!r************* <br /> ; GAS LINE INSPECTION <br /> : High/Low Pressure $15. 00 <br /> x!e**�t�kic*xYc*ic�t�i**�t�i�F�ix*�F*�t**ic�t�kicx�i�Fyeieicir�'tic�cz 'r.iei�ir*icxx�c��tic�ic�cic:ticar�rz*��x*'.eTx:L*�:���:+:x±� <br /> P$RMIT FEE CALCQLATION <br /> - l. Total of above Installations or Minimum Fee ($30.00 ) - $ �7 5, U U <br /> 2 . State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> 3 . Postage and Handling on all mailed-in agplications, $ 1. 50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ �-7, � G <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 /> statement� made �n this application are com�.lete, true and correct. <br /> f J App licant' s Signature: � � �-�-�Q Date: J'� 8'�� <br />��` � � y o a <br /> . . � i . ... .. � . � � . � .. . . . . � . <br /> � . . . � . , � 'j . .. . � � . . � '. ' � . . . ' � ' .. <br /> � <br /> .. .. . '� .f� . . . . � . , <br /> � . . i . ,.. . - . . . . •� . . . ' . <br /> i <br /> . . . ' . � . � . � . . .. . . . ��i , ' . .. . ' . <br /> � �� � , � .. . .. � . �. . . . .. . .. <br /> � .. i ... .. .. . .. . . . . . <br /> ' �F . . . - . . . . . <br /> � - - - . . - �. � . � r <br /> .. � . . �. � . � . . � - � - . � � � ,. . . � <br /> � � �- . � : .� � � <br /> . , .. f . . . . . . . � , � . . . �. . <br /> , <br /> . <br />, <br /> . <br /> t <br /> . . . , . .. .� _� <br /> a�, . .�� ._. . �'�� ' �,,. s_...•�:._,..s -.�,.�. . . . .�..: r .. �- -' , � ... .._.... <br />