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� <br /> *WOOD BIIRNING EQIIIPMENT $15 . 00 each unit <br /> Wood stove with �flue <br /> Wood combination or add-on unit <br /> i4. Factory fireFlace with flue <br /> Factor Fireplace (s ) freestanding built-in <br /> ;aood Stove (s ) franklin, other y <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. Ritchen E:�haust ducted recirculating cfm � <br /> No. �saL'n Exnaus� inust be d�:�t�d �u��iae? 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 INSPECTION <br /> High/Low Pressure $15 . 00 <br /> ******************************************************************************** <br /> PERMIT FEE CALCIILATION <br /> 1. Total of above Installations or Minimum Fee ($30.00 ) $ ,:: - � <br /> 2 . State SurcharQe. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> ' 3 . Postaqe and Handling on all mailed-in applications, $ I.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 c�n thi5 application are conple�e, trua and cor�e�°t. <br /> Agplicant' s Signature: �' - - � - � Date: -� <br />