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<br /> $�
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<br /> *3nTOOD BIIRNING EQIIIPMENT $15.00 each unit ��- F� ° �
<br /> Wood stove with flue ��
<br /> �: �,
<br /> �, Wood combination or add-on unit ��
<br />�,°;' Z. Factory f ire�lace with f lue : F
<br /> >; Factor Fireplace (s) freestanding Masonry
<br /> Y' Wood Stove (s ) franklin, other �
<br /> BrandName �=r t�,f/ Mode1 No. -3�. �
<br /> '� Mfgr' s Min. , Clearances, side , rear �L , min. flue dia. " . ''.7�.:� L `<c.�,,.,�« ,�
<br /> Total ��:ro °= �,, �rr�-. �
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<br /> ; VENTILATION $15. 00 each project �
<br /> �
<br />�� No. Ritchen Exhaust ducted recirculating cfm � � ��
<br /> No. Bath Exhaust (must be ducted outside) cfm ��
<br />�' No. Other Fans: Locations cfm ��
<br /> ' Total E�
<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 />►' �`
<br /> ` Other Gas opening
<br /> ******************************************************************************** �?.
<br />� ��AS LINE INSPECTION K.
<br />� High/Low Pressure $15. 00 �''
<br /> �.
<br /> ******************************************************************************** �
<br /> P$RMIT FEE CALCIILATION �`'
<br /> 1. Total of above Installations or Mi.ni.mum Fee ($30.00) $ ���
<br />�a� 2 . State Surcharge. Add the State Building Code Division '� k"�� ��
<br /> � Surcharge to each permit $ ' 50 � �3;
<br /> 3 . Postage and Handling on all mailed-in applications,
<br /> $ 1. 5 0 � �� �'��``
<br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ �`
<br /> �;
<br />��' The undersigned hereby applies to the City of issuance of a Mechanical Permit, �
<br />�� F�+
<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 app lication are complete, true and correct. ��
<br /> •� �.�4� T s f""'
<br /> ' AFplicant' s Signature: � � Date: _ }:� �
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