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*WOOD BURNING _EQIIIPMEN'�' $15:00•-`each""unit <br /> Wood stove withi flue =Y ,, <br /> , C Wood combinati,ori orladd on unit <br /> 4 <v <br /> �Factorywfireplac�wAtl�moi,.€iuet����� b <br /> ' fireplace ffreestanding =built <br /> ood. Stov (s) ` franklin,, 'other " <br /> rB.. V d Name ;x Model No. <br /> Mfgr's Min. , Clearance rear~ 'mi . f lue dia.: <br /> Total <br /> YWILATION :p$15.00, each-project 1' ' <br /> a� t' <br /> ducted reeulating of <br /> Kitchen Exhaustrk .; s cmw <br /> Nom Bath Exhaust (musty be ducted outsidcfm <br /> *Io. Other Fans: yoca*ior_s•. J :„f <br /> cfm' <br /> Total " <br /> =- <br /> FOSL. _STORAGE (must be `'app owed' by`Mire marshal) + <br /> $15.00 Permanent/Temporary, <br /> Fuel oil, gallons underground inside ._ . . . outside <br /> LP Gas, gallons 4: �i t : ,.e.. : . .; f .k Vit. <br /> ;Other Gas opening < <br /> LINE INSPECTION <br /> h/Ecus Pressure $15.00 <br /> F=-- <br /> CA][.CDLA 7ON <br /> 1 Total of above Inst <br /> e,: tions or''Minintu�n__�'ee_. 4$30,..00.} <br /> wAdd ►t State Building Code Division <br /> 2� State Surcharge - <br /> r Surcharge toy etc , $ 50 ' <br /> Postage, and Hau :o' all; :is.ed T mail - n applications, <br /> TOTAL PERMIT. FEE add line '5abve, , F <br /> : . <br /> to dersigned-, ereby applies tox the'° City .o .issuance. of"a'a 146bhhnical. Permit, <br /> to do a1 work irndtrct accordancek1', of� the Cityand. <, <br /> egulations,.of esota State Bit fdfnj-.Code, and certifies that al l <br /> cements` made on t.1 apg ication are complete, ; true and correct. <br /> ant, sk Signatu <br /> Y y�tl '� Y 6fy ' <br /> �' <br /> s. <br />