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�� .. �: ��_ .-� <br /> y. `. <br /> � � <br /> .�. . <br /> � <br /> _x: <br /> � <br /> r€� <br /> �. <br /> � *WOOD BURNING EQIIIP1�iT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireFlace with flue <br />_%, Factor Fireglace (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 /> No. / Kitchen Exhaust � ducted recirculating cfm <br /> No. .� Bath Exhaust (must be ducted outside) cfm <br /> No. (�ther Fans s T,or�ti ons c'`� <br /> Total <br /> ******************************************************************************** <br /> FOEL STORAGE (must be approved by fire marshal) <br /> �: . <br />�:,y $30. 00 Permanent/Temporary <br />��,, Fuel oil, gallons underground inside outside <br /> m;.� LP Gas, gallons <br />` ` Other Gas opening <br /> i:'�`' **********************************************************************�c�t******** <br /> GAS LINE INSPECTION <br /> High/Low Pressure $15. 00 � <br /> ******************************************************************************** <br /> PERMIT FEE CALCIILATION <br />�;:;: 1. Total of above Installations or Minimum Fee ($30.00) $ �/� <br />�;: 2 . State Surcharge. Add the State Building Code Division <br />�' Surcharge to each Fermit $ . 50 <br />� , 3. Postaqe and Handling on all mailed-in agplications, $ 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, u" <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 application are complete, true and correct. <br /> , <br /> Y /', <br /> / , <br /> Applicant' s Signature: Date• '` <br />�.` / <br />�. �l1RBAN AIR CONDT110MNQ�•� <br />� 8419 CENTER DR1VB <br />� ` �,APOL13, �1NBS�t��J <br /> , <br /> ���/u/ <br /> � � <br /> �� � ' <br /> _ � <br /> : _ � <br /> � . . <br />�, �- <br />�„ �. : � , <br />�.. >r' _ ` ', _ . <br />