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� . <br /> ( *WOOD BIIRNING EQIIIPMENT $15. 00 each unit <br /> ° Wood stove with flue <br /> < Wood cQmb��ation or add-on unit <br /> Factory fireFlace with flue <br /> Factor Fireglace (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 /> , No. Other Fans: Locations cfm <br /> Total <br /> ***************************************************************�r**************** <br /> j FUEL 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 /> f <br /> GAS LINE INSPECTION <br /> High/Low Pressure $15.00 <br /> ******************************************************************************** <br /> PERMIT FEE CALCULATION , ,�y <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ -�: - ' <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 1.,50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ ,. �, ` i _ <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 c�smplete, true and correct. - <br /> i <br /> i:� <br /> Applicant' s Signature: ��`� ''��.� Date: � , � ���' -- <br />