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CITY OF ORONO 5124730510 04/22/97 07:30 f :03/03 NO:299 <br /> ,.Vo[ 1t 13uR1VING �Q1;11<PI�FN7' <br /> Wood stove with flue <br /> ._ <br /> Wood co.mbit ation or add-on . <br /> _ Factory fireplace with ttue <br /> _ Factory Fireplace (s) Freestanding Masonry <br /> �^ Wood Stave (s} Franklin, oth <br /> I3t�nci Name <br /> Mfr's Min,, Clearances, sidere <br /> mita. flu; die. <br /> �. , <br /> Na. Kitchen Exhaust ducted. recirculating cfm. <br /> fVca. Bath Exhaust (tnust be ducled outside) cfm r <br /> NO. Other I'aru: T..ocaclorls -�"--- <br /> JUL. '. NtlST 13.E APPROVED BY I~'ME MARSIL%L) <br /> ....� Installation .. Removal <br /> Fuei oil: gallons underground inside <br /> LF <br /> u <br /> _ gallons outside <br /> Other Gas opening <br /> l, <br /> 1.25% 0 F QWjj—Wet j!E1�e* or InImum Fee ($ 3.OQj <br /> x 0125 $ J5, <br /> (contract pricti) <br /> Add t1w State Building Code Division <br /> Surcharge to each per'init. _ x .0005 <br /> or &5p,' whichever is greater (Ooh tract price) <br /> 3, QSs g d ndli;i (Only tnail4n applications) $ <br /> 4• TOTAL PERMIT FEF. <br /> (Acid.Irsiies 1-3 above) $ _ <br /> * CONTRA.Cr PRICE.or JOB COST means the actual.or esdnlated dollhr attlount charged far the.permitted <br /> �icarlc inducting nutterials, labor, Profit, and other fixed costs. It is the atnount to t)� charged to.the <br /> custarner for the:work doni:. It APY material,equipment, labor, Or ittatailatian are fttrn!shed:hy the tiwnrr, <br /> tenant or any outer part% the reasonable market.value of such items must be,added to the estimated.cost <br /> ur contraoC priti €ar lwrtnit'fee pu:rposca. tri the event that there is a dzspu(o chi the amount of thej[lta cost, <br /> the City tnay'request the %Uhmission of a Sighed copy of the actual wntraet. <br /> * The /57'A!$ SI.JItC.`.HARGL is ..0005 of the contract price under Sl,(X)0,000 of $.50 whichever is. <br /> greater. Fbr valuations over$1,000;t)QO call the Departrwrit of.InspectiUnal. Servimy for the price. <br /> The unclersigned herehy applies to the City for issuance of a MachaniGal Perrttit, agterrs to do <br /> all work in stritiacrx)rdance with the ordinances of the City and the regulations of the Minnesota <br /> State UtWdi.fig Code,.atrcl certifies that all statements namde on this applicatio <br /> and correct. n are complete, true <br /> Applicant's Sigr aturt : Date. <br /> Apnruved 13y: <br /> Date: <br />