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, _. . � _. .. _ <br /> !f � . � . � . � � ' <br /> • ! <br /> p. <br /> *WOOD BIIRNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue <br />,� . <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 /> Total <br /> - ******************************************************************************* <br /> VENTILATION $15. 00 each project <br /> HOOD <br /> No. � Ritchen �xhaIIs�t ducted recirculating cfm <br /> No. 4 Bath Exhaust (must be ducted outside) cfm <br /> No. � Other Fans: Locations 1 dryer cfm <br /> Total <br /> ******************************************************************************* <br /> FII$L 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 /> High/Low Pressure $Z5. 00 X <br /> *�***************************************************************************** <br /> PSRMIT FEE CALCIILATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ . � <br /> '`° 2. State Surcharge. Add the State Building Code Division <br /> ry 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 $ `��. <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 anc <br /> the regulations of the Minnesota State Building Code, and certifies that al : <br /> statements made on this app ' ation a e complete, true and correct. <br /> �: <br /> Applicant' s Signature: Date: December 10, 1991 <br /> � . <br /> �' _ <br /> � :: ' ,, <br /> �� .; � <br /> s � � <br /> � � � �. � f. - ,. . . � . . . . . .. . . .. . � � :. . . . ... . . � . .� . <br /> t. . . . � . . ' . . . . , � ..� - - - . �. � _ � � : � . - . . . <br /> , , _ . . . . � . . . _ . . . . .� . . . ... � <br /> . . _ . � . � } . : - . . . . . . . . . -. . : . . . . .. .. <br /> . . . . � . . . P .. � . . . . � . � . . . . . . � � . � . � . .. <br /> ,. . . .. . . .. <br /> i. :: . . ;� .� . ; .. .. . . _ . . . ( . . . <br /> , i i , n <br /> �; <br />