2002-P05816 (Mechanical) - Laserfiche WebLink

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a FIREPLACES Gas factory fireplace ; Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name Model No. VENTILATION i No. Kitchen E�aust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfrn No. Other Fans: Locations cfin FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oi�: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) ta ��'� x .0125 $ l 5� .�i contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. la, (��'� x .0005 $ Co .3� or $.50, whichever is greater (contract price) 3. Posta�e and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � f �..r+ 1 * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor, or installation are fumished by the owner, tenant or any other pazty the reasonable mazket value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,the City may request the submission of a signed copy of the actual contract. ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or 5.50-whichever is greater. j For valuations over$1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the Minnesota State Building Code, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: l 1-� �O�-- Approved By: Date: � I I