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� <br /> � <br /> ` <br /> *WOOD BIIRNING EQIIIPMSNT $15.00 each unit <br /> ,`A 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 />� <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 /> ******************************************************************************** <br /> FIIEL STORAGE (must be approved by fire marshal) <br /> " $30. 00 Permanent/Temporary <br /> Fuel oil, gallons underground inside outside <br /> LP Gas, gallons <br /> Other Gas opening <br /> ****�*************************************************************************** <br /> GAS LINE INSP$CTION <br /> High/Low Pressure $15. 00 <br /> ******************************************************************************** <br /> P�RMIT FEE CALCIILATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ -��'. � t <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 $ �'�� . �' � _ <br /> The undersigned hereby applies to the City of issuance of a Mechanical 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 comglete, true and correct. <br /> _) <br /> ,>.� �" �� � Date: `' . i / <br /> Applicant' s Signature: ` ) ��Q_C �� << �� <br />