Laserfiche WebLink
_CITY OF ORONO "ff 6122494616 10/15/99 10:21 Ij :02/02 NO:306 <br /> WOOD BSam <br /> Wood Stave with flue <br /> Wood combination or add-oil <br /> Factory fsreploce with flue <br /> FactM, Fireplace (s) Freestanding Masonry <br /> W000 Stove (B) _ Froldin, other <br /> Brand Nam _ Model No, <br /> M%r's Min,, Clearances,.Side rear mirJ. flue.dia. <br /> ND; Kitchen Exhaust ducted recirculatin# cfm <br /> No. Bath Exhaust (must be.ducted outside) cfm <br /> No. Other Pons-. Locations cfm <br /> STQAAQU (MUST BE APPROVED BY FIRE MARSHAL) . <br /> Installation Rettwval <br /> Furl oil: <br /> gallons underground inside outside <br /> LP Gas: gallons <br /> Other Gas opening <br /> MIT FEE CAL&LI TION <br /> 1.25% of.Cq=ct Price* or NUMUM Fee (S►H144� <br /> dgnno-Dx .0125 s . 131 ..a i� T <br /> {conttrsct pttieo) <br /> 2: StAte guicharste. ** Add the State Building Code Division <br /> Surc:haV to each permit. /0� °D X '.0005 $ <br /> or $.50, whicluver is greater (contract Price) <br /> 3. PMgge acrd Handling (only n:Mil-in applications) $ <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ I ?ld L gz? <br /> " CONTRACT PRICE or JOB cosi twans the aural or cialtnated dollar amount charged for the pertnitted <br /> work irictudiag materials, labor, profit, and other flied costs. It is the arrunuit to be charged to the <br /> customer for the work clone. If any material,oquipmcnt. lobar,or installation are fu-nished by Lid owner, <br /> temna or any other 11 pony rho reasonable,market value of'such iteras must be added'to the eadmated cost <br /> or coat=price for permit fee purpo*A. 'in the event that thera is a dispute on the amount of the job cast, <br /> the City'any request the submission of assigned copy of the actual contract, <br /> The .STATE SURCHAKCGF it .0003 of the contrast price under S1..Oa),00n or $.55 - whicbever is <br /> greater. For.valuations over Sl.atn1],U[ll'1 W1 the lhpwment or Ing=tional Services for the price. <br /> The unde,.signe:d hereby applies to the City for issuance of a Mechanical Permit, agrees to do <br /> all work in strict .accordaaw will) die orditr w4s of the City and,the regulations of the Minnesota <br /> State Building Code, and certitie:, tV, all.statements trade on this application are complete, true: <br /> and carrot. <br /> Applicant's Signatur �Q/Y11/ on_ Date: 16 <br /> Approved By. _ Date: <br />