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, <br /> . <br /> c <br /> � <br /> *WOOD BIIRNING EQIIIPMENT s $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit d <br /> Factory fireFlace with flue <br /> Factor Fireplace (s ) freestanding built-in <br /> ;aood Stove (s ) franklin, other r <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:chaust duct�d recirculating cfm <br /> No. �satn Exnaast ir►ius` b� d�:���d cutsi8e? cfm � <br /> No. Other Fans: Locations � cfm <br /> Total <br /> ******************************************************************************** <br /> 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 /> GAS LINE INSPECTION <br /> High/Low Pressure $15 . 00 <br /> *********************************************************�r********************** <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 . Postage and Handling on aIl mailed-in applications, $ 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 thi� application are conpleLe, �rlia and ��rrE�t. <br /> Applicant' s Signature: j - `-- " Date: � <br />