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r. <br /> • �,, <br /> .. . <br /> *WOOD BURNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireFlace with flue <br /> Factor Fireplace (s ) freestanding Masonry <br /> Wood Stove (s ) franklin, other <br /> Brand Name Mode 1 No. <br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> ******************************************************************************** <br /> VENTILATION $15. 00 each project <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> �.o. Cthe� Far.s: L�catior.s cfm <br /> Total <br /> ******************************************************************************** <br /> w <br /> FIIEL STORAGE (must be approved by fire marshal) <br /> ' $30. 00 Permanent/Temporary <br />� Fuel oil, gallons underground inside outside <br /> LP Gas, gallons ` <br /> Other Gas opening <br /> ******************************************************************************** <br /> GAS LINE INSPECTION <br /> High/Low Pressure $15. 00 <br /> �******************************************************************************* <br /> PERMIT FEE CALCOLATION <br /> l. Total of above Installations or Minimum Fee ($30.00) $ �- �•n�= <br /> 2. State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> 3. Postage and Handling on all mailed-in applications, $ 1. 50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ 3� �'� C� �,, <br /> The undersigned hereby applies to the City of issuance of a Mechanical Permit, <br /> agrees to do 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 /> statements made on this ap�lication are complete, true and correct. <br /> +�J �--E, � �� - � � -`I 1 <br /> ' Applicant' s Signature: � �_-�-�.�' Date: �, <br /> � � �� �� <br />