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<br /> 4
<br /> f: *WOOD BIIRNING EQIIIPMENT $15.00 each unit
<br />''4 Wood stove with f lue
<br />� ; Wood combination or add-on unit
<br /> Factory fire�lace 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 /> f�x' *******************************************************************************
<br /> VENTILATION $15. 00 each project
<br />� "� No. � Ritchen Exhaust ducted recirculating cfm ;_
<br /> " No.
<br /> 5 Bath Exhaust (must be ducted outside) cfm �`
<br />_`<' NO. �— Other Fans: LOCatioIIS ovan , & drver Cfm
<br /> f:;; Tota1
<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 />�:
<br /> a, ********************************,t**********************�rc*****************
<br />� ' PBRMIT FEE CALCIILATION
<br />�:
<br />� 1. Total of above Installations or Minimum Fee ($30.00) $ �.��
<br />� 2. State Surcharge. Add the State Building Code Division E �
<br /> . Surcharge to each permit $ . 50
<br /><<�`� $ 1. 5 0 �` `
<br /> 3. Postaqe and Handling on all mailed-in applications,
<br />�`'Y 4. TOTAL PERMIT FEE add lines 1-3 above $ 9a .00
<br /> :�
<br />�r; The undersigned hereby applies to the City of issuance of a Mechanical Permit;
<br />�� a rees to do all work in strict accordance with the ordinances of the City anc
<br />���;; g
<br />���; the regulations of the Minnesota State Building Code, and certifies that a1 =
<br />� statem�nts made on this applicatio re complete, true and correct.
<br />�� � 7-27-92
<br /> q,;, Applicant s Signature: Date:
<br />�;�
<br />�,, Note: Also installing 2 Aprilaire #224, & 550 Humidifiers, 2 Honeywell Electronic Air-
<br /> ' ' Cleaners 16x25, & 2 - 2 Zone Auto Controls.
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