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A <br /> *WOOD BURNING EQUIPMENT $15 . 00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireplace 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. Kitchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside ) cfm <br /> No. Other Fans: Locations cfm <br /> Total <br /> ******************************************************************************** <br /> FUEL 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 /> icx�ix�rx*�t'x�Yicic`+i%ciczxic�l*z::::e�--'r*�'!."``k^'^`�"E'*j'y•`�';kt****1k�F********************************* <br /> PERMIT FEE CALCULATION <br /> 1 . Total of above Installations or Minimum Fee ($30.00 ) $ 30 . 00 <br /> 2 . State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> 3 . Postage and Handling on all mailed-in applications , $ 1. 50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ 32 . 00 <br /> The undersigned hereby applies to the City of issuance of a Mechanical P rmit, <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 applicatidn are compl true and correct. <br /> Applicant' s Signature: Date: <br />