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*WOOD BURNING EQUIPMENT $15.00 each unit <br /> Wood stove with flue ` <br /> Wood combination or add-on unit <br /> Factory fireplace with flue314 <br /> Factor Fireplace (s ) freestanding Masonry ' '. <br /> Wood Stove (s ) K <br /> franklin, other <br /> Brand Name Model No. <br /> Mfgr ' s Min. , Clearances, side rear min. flue dia. <br /> Total <br /> ******************************************************************************** <br /> VENTILATION $15. 00 each project a # _ <br /> No. Kitchen Exhaust ducted recirculating cfm � kF � <br /> No. Bath Exhaust (must be ducted outside ) cfm � .. <br /> No. Other Fans : Locations cfm <br /> Total <br /> �t�t*ic�tic�t�t�tieieic�cic�tieie***ic�r�e***�t**�r�e*ie�k******�e�tie�t�ticic*�c*ie*�t�c****�t�ti�***�t�t�eic*icx *ic�ticir**** <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 /> ******************************************************************************** <br /> PERMIT FEE CALCULATION <br /> 1 . Total of above Installations or Minimum Fee ($30.00 ) $ 4n, 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 $ '_. o C; u <br /> u::-.to •si°=:•.' ^� '� <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 application are complete, true and correct. <br /> Applicant' s SigSignature: ��`��-E-- Date: <br /> � <br /> -a.$-:"�ai.._3r,..>.:-..:: '•:Y: "'rr ssr..°,s;^. ', ..�n_' * .g='®m .. a .; - '°::"- 7 F;:.» q s •:,s, �f `' t` <br /> t qk,Y e <br /> ta <br />.7r <br /> r * se sA } <br /> �«`�' a 'gv�Y:r� ., d�t�+?+�L+'� r��,� ��,u :a u� •N. � �Q `« '�� # .r� �, � �'� t si� .3" ?�L� # '�-.a <br /> TMf' <br /> r <br />