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y. r , '777-77- <br /> • <br /> ,f » a. '..'`4 • v8i .'-:,r 'F .•� �x •.B'"f�'c wM 'S. ,rid �},,xa9:n <br /> ' J °}�`r. j�r t k � j S��nE +v ���' � a y; ,� j e t r ti <br /> • <br /> FIREPLACES :: <br /> Gas factory fireplace • <br /> Wood burning factory fireplace with flue ;;, - i4 :L <br /> Wood Stove <br /> Wood stove with flue " <br /> Brand Name Model No. • <br /> VENTILATION <br /> No. Kitchen Exhaust ducted ` recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locations y cfm <br /> tie nrn uIe03 _�' <br /> FUEL STORAGE (MUST BF APPROVED BY FIRE MARSHAL) <br /> Installation Removal <br /> Fuel oil: gallons underground inside outside <br /> LP Gas: gallons <br /> Other Gas opening <br /> PERMIT FEE CALCULATION <br /> 1. 1.25% of Contract Price* or Minimum Fee ($35.00) <br /> 10.000 x .0125 $ l50 <br /> " (contract price) <br /> 2. State Surcharge. ** Add the State Building Code Division <br /> Surcharge to each permit. ( ,� _Q n o) x .0005 $ (,P OC) <br /> or $.50, whichever is greater (contract price) <br /> 3. Postage and Handling (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ /57 50 <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 customer <br /> for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or <br /> any other party the reasonable market value of such items must be added to the estimated cost or contract <br /> price for permit fee purposes. In the event that there is.a dispute on the amount of the job cost,the City may <br /> 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 greater. <br /> 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 all <br /> work in strict accordance with the ordinances of the City and the regulations of the Minnesota <br /> State Building Code, and certifies that all statements made on this application are complete, true <br /> and correct. <br /> Applicant' Sig nate : r ( \' Z: <br /> Date: 3 '/CD ) <br /> Approved By: Date: <br />