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< . <br /> *WOOD BIIRNING EQIIIPI�NT $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 �asonry- <br /> Wood Stove (s) franklin, other <br /> BrandName Model No. <br /> Mfgr's Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> *************�r****�r*******�r**,�*************************************************� <br /> VENTILATION $15.00 each project <br /> No. Ritchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locations cfm <br /> Total <br /> ******�**********************************�*�************************************ <br /> FOSL 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 $15.00 <br /> �****�****************�**************�r***�***************,x�*******,r*****�r******* <br /> P$RMIT FEE CALCIILATION • �� <br /> 1. Total of above Installations or Minimum Fee ($30.00) �,� $ � � �b <br /> 2. State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ .50 <br /> 3. PostaQe and Handling on all mailed-in applications, $ 1.50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ 3 a. o a <br /> The undersigned hereby app lies 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 app lication are complete, true ancl correct. <br /> Applicant' s Signature: � � Date: l a.-�3 v- �'a <br /> � � �� � � <br />