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<br />� *WOOD BIIRNING EQIIIPMSNT $15. 00 each unit ��
<br /> � Wood stove with f lue '°
<br /> �':
<br /> Wood combination or add-on unit
<br /> Factory fireFlace with flue
<br />`�'' Factor Fireplace (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. � Ritchen Exhaust ducted recirculating cfm
<br /> No. � Bath Exhaust (must be ducted outside) cfm
<br /> ' No. Other Fans: Locations I'� cfm '
<br />�'' Total ��
<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
<br /> High/Low Pressure $15 . 00 �
<br /> �' *******************************,t**************************,t********************
<br /> '' p$RMIT FEE CALCIILATION n;�
<br /> 1. Total of above Installations or Minimum Fee ($30.00) $ ��•W ��
<br /> ` 2 . State Surcharge. Add the State Building Code Division #�
<br /> ' Surcharge to each permit $ . 50 '3* ' '
<br /> 3 . Postaqe and Handling on all mailed-in applications, S 1. 50 _=Af� `
<br /> 4 . TOTAL PERMIT FEE add lines 1-3 above $ q�_
<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 anc
<br /> the regulations of the Minnesota State Building Code, and certifies that a1 =
<br /> statements made on this ap icati e complete, true and correct.
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<br /> Applicant' s Signature:` Date: �' �'�� ,��.'�
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