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<br />� � �*WOOD BIIRNING EQIIIPMENT $15. 00 each unit G
<br /> "�' Wood stove with f lue �,•
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<br /> Wood combination or add-on unit
<br /> � �c Factory fireFlace with flue
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<br /> ,; Factor Fireplace (s ) freestanding Masonry
<br />_;�� Wood Stove (s ) franklin, other
<br />�� Brand Name 'cr ` Mode 1 No. ,;�,�-yt- 3
<br /> Mfgr's Min. , Clea ances, side ' , rear ��, min. flue dia. // ip.
<br /> � Total
<br />�'„''!� **,rr*********************************************************************�h***�k*** �*
<br /> �" VENTILATION $15.00 each project
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<br /> ' No. Kitchen Exhaust ducted recirculating cfm
<br />;.�_
<br />`:'� No. Bath Exhaust (must be ducted outside) cfm
<br /> � No. Other Fans: Locations cfm ���
<br /> �'� Total /�S�v
<br />��,
<br /> ******************************************************************************** �
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<br /> r=� FIIEL STORAGE (must be approved by fire marshal)
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<br />� � $30. 00 Permanent/Temporary j
<br /> � Fuel oil, gallons underground inside outside �
<br />�'�� LP Gas, gallons
<br /> �' Other Gas opening
<br /> #�' **�t*****ic***�k�F****�r*�t*ic***�Y**�F*********************�k***********�k�t***************
<br />�� GAS LINE INSPECTION
<br />� High/Low Pressure $15. 00
<br />��" ********************************************************************************
<br /> ' PSRMIT FEE CAI,CQLATION
<br /> � 1. Total of above Installations or Minimum Fee ($30.00) $
<br />.;�,
<br /> �; 2 . State Surcharge. Add the State Building Code Division
<br /> �� Surcharge to each permit $ .50
<br /> `�` 3 . Postaqe and Handling on all mailed-in agplications, S 1. 50
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<br /> �` 4 . TOTAL PERMIT FEE add lines 1-3 above $
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<br />�` The undersigned hereby applies to the City of issuance of a Mechanical Permit,
<br /> acrees 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 application are complete, true and correct. 1,�
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<br />��; Applicant' s Signature: Date: � � L- �
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