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aUFOfING E2UTELLM $15.00 each unit <br /> Wood stove with flu$ <br /> `woad combination or adder-on unit <br /> Factozy fireplace with flut <br /> Factor Fireplace (s) freestandingMasonry <br /> Wood Stove ts) fzanklin, other <br /> Brand Name ' Model No. <br /> Mfir ' s Min. , Clearances, s e _ rear , min. flue die. <br /> Total. <br /> VENT UA ION $15. 00 each project <br /> Kitchen Exhaust ducted recirculating cfm <br /> Nei. Bath Exhaust (mus be ducted o�uu side) cfm <br /> No. _ Other Fans: Locations cfm <br /> Totalr" <br /> FU#. lSTORAGE (must be approved by fire marshal ) <br /> $30. 00 Permanent/Temporary w4 <br /> Fuel oil., gallons underground � inside outside <br /> LP Gas, gallons <br /> other Gas opening <br /> *ir ##ic***#**!t�**�ieie************#**ticF* t�,tirir* tlIt� tlr*�r*,kit**tkiM**,tt,►t*dt#lrklrk*lr7r**i# <br /> G" Za" INSPECTION <br /> pligh/Low Pressure $15. 00 <br /> FRIT FER, CALCULATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ <br /> State Sur ehargre. Add the State Building Code Divis on <br /> SOU—c�ia.rge to each permit $ .50 <br /> 3 . PostAge and Handli <br /> .nj on all mailed-in applications, $ 1.50 <br /> 4. TOTAL PE]. TT FEE add lines 1-3 above �� <br /> The undersigned hereby applies to the City of issuance of a Mechanical Permit, <br /> agreets to coo 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 /> statownt8 made on this flP licdti.on4, eQmp lete. true and corze . <br /> Applicant' s Signa6turat v�(` , i" l�(�o �O <br /> 5 <br /> �; V <br /> N <br />