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� . <br />�" _ : _ _ _� __. .�. _ . � = _ <br /> ,.. _ _;_ _ . ._:.� __,;.. ._ . . ,_ _. .. <br />'WOOD BIIRNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireplace with flue <br />'actor Fireplace (s) freestanding Masonry-- <br />'ood Stove (s ) franklin, other <br /> randName Model No. <br /> fgr's Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> ******************************************************************************* <br /> ENTILATION $15.00 each project <br /> o. Ritchen Exhaust ducted recirculating cfm <br /> o. Bath Exhaust (must be ducted outside) cfm <br /> o. � Uther Fans: Loc�tions ���" <br /> Total <br />******************************************************************************* <br /> IIEL 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 /> AS LINE INSPECTION <br /> igh/Low Pressure $15. 00 E <br />,�xx�r*����t����r����y�:��t*��*�***��****t******�t************************************ <br /> PERMIT FEE CALCIILATION <br /> . Total of above Installations or Minimum Fee ($30.00) $ <br /> . State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> . Postaqe and Handling on all mailed-in applications, S 1. 50 <br />. TOTAL PERMIT FEE add lines 1-3 above $ _ <br /> he undersigned hereby applies to the City of issuance of a Mechanical Permit, <br /> grees to do all work in strict accordance with the ordinances of the City and <br /> he regulations of the Minnesota State Building C-Qde, and certifies that all <br /> ta#�ements made on this app lication are complete, true and correct. <br /> . � <br /> � <br /> pplicant' s Signature: Date: � <br />�. <br /> 4 <br /> s <br />