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�''a _ _. <br /> a * , <br /> ay <br /> ,kelt 71A�'s i i S�n 4 •'' g` .5 <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 /> Brand Name Model No. <br /> Mfgr' s Min. , Clearances , side rear min. flue dia. <br /> Total <br /> ******************************************************************************** <br /> VENTILATION O�L, MCfA f <1t�i✓Yl $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 /> 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 ) $_3 0-cc <br /> 2 . State Surcharqe. 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 $ Cyd <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 corq:lete, true and correct. <br /> Applicant' s Signature: k � Date: <br /> p -� <br /> F <br /> �fl ���y »h� <br /> S 4 <br /> 94 <br /> ,�s .sy �+ aY� >a ,� �� "sn �' k � - f���s z,^,"4 K c a•s ... .�. s '. <br /> a <br /> 1Z, <br /> KXQ <br /> 7 , a 44 <br /> �.,�v:��" ���• �; ia€ � �w �t s ,, - r .:. .. r a �af� is ° � � s <br /> s,... uJd"�ra` <br />