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3 <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 built-in <br /> Wood Stove (s) franklin, other <br /> BrandName Model No. <br /> Mfgr's Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> VENTILATION $15.00 each project <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outsile! cfm <br /> No. Other Fans: Locations _ cfm <br /> Total <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 /> GAS LINE INSPECTION <br /> High/Low Pressure $15. 00 <br /> PERMIT FEE CALCULATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ ,&6 <br /> 2 . State Surcharge. Add the State Building Code Division <br /> Surcharge to each.- permit <br /> $ . 50 <br /> .. ... _ . -- $-. 1.50 <br /> 3 q*-Postage and Handling" on=all'mailed-in applications, �`, <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ <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 an <br /> the regulations of the Minnesota State Building Code, and certifies that al <br /> statements made on this application are co Tete, true and correct. <br /> Applicant' s Signature: Date: , 6 <br />