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Oct-24-2000 10:20am From-CITY OF ORONO +3522434616 T-351 P.003/003 F-011 <br /> " <br /> F`�TREPLICE45 <br /> / Gas factory fireplace <br /> Wood burning factory fireplace with flue <br /> Wood Stove <br /> Wood stove with flue <br /> Brand Name �� L1M`'1 Modes No. � <br /> VENTILAy, <br /> No. Kitchen Exhaust ducted recirculating efm <br /> No, • Bath Exhaust (must be ducted outside) clim <br /> No. Other Fans: Locations cfm <br /> FUEL STOGE (MUST BE 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 (S3S.00) <br /> 4600 x ,0125 $ ` 3 5 "° <br /> (contract price) <br /> 2. Stara Sur **Add the State Building Code Division <br /> Surcharge to each permit. ti®Q _ x .0005 $ <br /> or $;50, whichever is greater (contract price) <br /> 3, postage and Handling (Only mail-in applications) $ <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _ 3 7, 2S <br /> * CONTRACT PRICE or JOB COST weans 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 coturact <br /> price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,the Ciry may <br /> request the submission of a signed copy of the actual contract. <br /> "" The STATE SURCHARGE is.0005 of the contract price under 51,000,000 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 sraements made on this application are complete, true <br /> and correct. ,� <br /> GL/�/ <br /> Applicant's Signature: Date: n <br /> Approved By: — Date: �,� <br />