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. « <br /> *WOOD BDRNING _E�IIIPI�:N'P $15.00 each unit <br /> Wood stove with f2ue <br /> � Wood combination or add-on unit <br /> Factory fireplace with flue <br /> Factor Fireplace (s) freestanding built-in <br />� Wood Stove (s) franklin, other <br /> Brand Name Mode 1 No. � <br /> . .. . . .. .-- - - -� - <br /> Mfgr's Min. , Clearances, side , rear . , min. f3.ue dia. <br /> Total � <br /> **�****�*�***********************�***�****�r*******�******�***,r***���r*****�****** <br />� V'BN�IY�ATYON $15.0 0 each pro j ect <br /> ATo. Ritchen Exhaust ducted recirculating _ cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> ; No. Other Fans: Locations cfm <br /> Total <br /> **s�***,��r*�*�*ar**��*-********�*�r*�r�*��r*�**�*�*�r****�*****�r,u***��*�r��*��*�***�***** <br /> ' FOEL_ .STORAGE (must be approved by fire marshal) <br /> $15.00 Permanent/Temporary <br /> Fue1. oil, gallons underground _ inside ou�side <br /> LP Gas, gallons <br /> Other Gas opening <br /> *****************�*�***,�***�**�u****�**���***��**��**�r************�a*�*****�****�* <br /> � GAS LINE INSPBC'�ION <br /> High/Low Pressure $15.00 <br /> *�*******�**�**�******�****�r**�****�*****�**�*�****************�******ar*****�*** <br /> PffitMIT FEE CAI�CDLATION <br />` 1. Total of above Installations or Minimuffi__Fee_ _(.$�0._00)_ $ ,���U� <br /> 2. State Surcharqe. Add the State Building Cmde Division <br /> Surcharge to each permit $ .50 . <br /> 3. Postage and Handlinq on all mailed-in applications, $ ._ .1..50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $__,�,���e� <br /> The undersigned hereby applies to the City of issuance of a Mechanical Permit, <br /> agrees to do al 1 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 application are complete, true and correct. <br /> � �,ppZieant's Signature: _ lC�m . f . Date:_ . ��✓ S„ <br />, <br />, - <br />