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� � <br /> , <br />� � � � � � <br />��., ' <br />�,� <br /> 4{= $15.00 each unit <br />'�,,:< *WOOD BURNING EQIIIPMENT <br />��'- Wood stove with flue <br />"�- Wood combination or add-on unit <br /> : Factory fire�lace with flue <br /> ` Factor Fireglace (s) freestanding � Masonry <br /> - Wood Stove (s ) franklin, other <br />�� Mode l No. <br />�" BrandName <br />�,� Mfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> " ******************************************************************************** <br />} ` VENTILATION $15.00 each project <br /> �_- No. Kitchen Exhaust ducted recirculating cfm <br />" No. Bath Exhaust (must be ducted outside) <br /> x No. Other Fans: Locations cfm <br />�`� Total <br />� � <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 />��; GAS LINE INSPECTION $15. 00 <br />��� High/Low Pressure <br /> c:t <br />� ****************************************************************************** <br />�;.' <br />�, pERMIT FEE CALCULATI <br />� l. Total of above Installations or Minimum Fee ($30.00) $ <br /> ' 2 . State Surcharge. Add the State Building Code Division $ .50 <br />��.�.� Surcharge to each permit $ 1.50 <br />�� 3 . Postaqe and Handling on all mailed-in applications, _ <br />�a° 4. TOTAL PERMIT FEE add lines 1-3 above $ <br />�Y The undersi ned hereby applies to the City of issuance of a Mechanical Permit, <br />,� ,, g <br />�•�: <br />� agrees to do all work in strict accordance with the ordinances of the City an <br />: > the regulations of the Minnesota State Building Code, and certifies that all <br />�'', <br /> statements made on this app lication are complete, true and correct. <br />� <br />��� � �� ����/ <br />�� Applicant' s Signature: � ��� �`��`'�' Date: �� <br />�x;:. <br />� <br />�� <br /> 0 <br /> r't� � � � �_ <br />� ; , <br />} , <br />����.�� � <br />� <br />�;� � <br />�� <br /> + <br />,�;: <br />�' .` � � .. . . . .F ' . � � . � . � . .. . . - �. <br />�., . . .. � .y . - . . . ' � � �. . . .' � . <br /> , <br /> � <br />� . a . . . .. . . . . �. . <br /> S y � <br />�_�s��. �. . . .. ....._ �Ii.' .�i, _ . . . .. . . .. ... .__ . . . . . ..., .. . _. .. <br />