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� � <br /> . � <br /> t <br /> *WOOD BIIRNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fire�lace with flue <br /> Factor Fireplace (s) freestanding Masonry ; <br /> Wood Stove (s ) franklin, other <br /> BrandName Model 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 /> No. Other Fans: Locations cfm <br /> l�otai <br /> ******************************************************************************** <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 I,INE INSPECTION <br /> High/Low Pressure $15. 00 <br /> �*******�r***��*�*****�**�******************************************************* <br /> PSRMIT FEE CALCIILATION ' <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ �S�', �' �' ; <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, S <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ 3� c� �` <br /> The undersigned hereby applies to the City of issuance of a anical 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 application are complete, true and correct. <br /> App licant' s Signature: j`� �� �--�-E�-'�--�- Date: � � � � � � � <br /> � � ���� &' <br />