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WOOD BURNING EQUIPMENT <br /> Wood stove with flue <br /> Wood combination or add-on <br /> Factory fireplace with flue <br /> Factory Fireplace-01Freestanding 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 /> VENTILATION <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 /> Installation Removal _ = <br /> Fuel oil: gall = underground inside outside <br /> LP Gas: /'gallons <br /> Ott;% Gas opening <br /> PERMIT FEE CALCULATION <br /> 1. 1.25% of Contract Price* or Minim Fee ($35.00) 3� I <br /> °—' x .0125 $ <br /> (contract price) <br /> 2. State Surcharge. ** Add the State Buildin Code Division <br /> Surcharge to each permit. ` �e x .0005 $ /1 1 <br /> (contract price) <br /> or $.50, whichever is greater <br /> 3. Postage and Handling (Only mail-in applications) $ - —_ <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) <br /> 37 <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted <br /> work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the <br /> customer for the work done. If any material, equipment, labor,or installation are furnished by the owner, <br /> tenant or any other party the reasonable market value of such items must be added to the estimated cost <br /> or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, <br /> the City may request the submission of a signed copy of the actual contract. <br /> ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is <br /> greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do <br /> all work in strict accordance with the ordinances of the City and the regulations of the Minnesota <br /> State Building Code, and c; ifies th. .11 statements made on this application are complete, true <br /> and correct. <br /> Ki <br /> Applicant's Signature: 14 Date: e /7 L� <br /> Approved By: ! �' Date: a oZ _ di' <br />