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„a'�' .•<4 3' . <br /> R �v� II .') <br /> ` 4' � + <br /> .�F � .� � . . . <br /> .. � . � , . . � . ck <br /> � . ��I� <br /> t„ ��-��� . .. - � .. � > <br />'.y's,,; <br /> z� *WOOD BIIRNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fire�lac 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. Other Fans: Locations cfm <br /> ���� Total <br />�`��' ***************************************************************�r**************** <br /> ,;. FIIEL STORAGE (must be approved by fire marshal) <br />� ' ' $30. 00 Permanent/Temporary <br /> c. <br /> ' Fuel oil, gallons underground inside outside <br /> c�;`X <br />,�;,A, LP Gas, gallons <br />{.;: <br /> f:t. Other Gas opening <br />:�:�:: ******************************************************************************** <br />�;�`;:, GAS LINE INSPECTION <br />�� <br />,�� High/Low Pressure $15 . 00 <br />� **************************�***************************************************** <br /> P$RMIT FEE CALCULATION <br />��� l. 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 />.>. <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 and <br /> �� the regulations of the Minnesota State Building Code, and certifies that all <br /> �� statements made on this app_lication are omplete, true and correct. <br /> a� , <br /> 4.. <br />�:� <br /> t � f � <br /> r�;- Applicant' s Signature;, �-�-�- Date: (� � � <br /> + <br /> i <br /> . i..., . . ,- , . . , . , . . <br /> , . . � . . .. � � . .. . . <br /> � - . . . ..� ... �� . . . . ' . . . . . <br /> � .. , . . . . � . . . . . , . . .. , <br /> _ � � . : � �1 � .. . .. . . <br /> ,{ . . . _ . .� .. . � � . . . - . . � � - <br /> . � {� � . . . � � . � .. . <br /> . . . . . .l.: � � - � .. . . .. .. ' <br /> � . . . _ � . �7 . � .. � . . . . <br /> s+ � ` � j . . � .-. . <br />}a . � .. . . . z <br /> "'Q . . � . . .. � . S.: <br /> � - .i - �.. ._ , t <br />��* f 4� <br /> � ,V� § . . . .. . - . . ' <br />�` � � � <br /> . . � . <br /> . <br /> .. F:.. �.. � <br />