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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 fire�lace 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. Other Fans: Locations cfm <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 $15. 00 <br />****************************************�************************************** <br /> P$RMIT 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, $ 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.ode, and certifies that all <br /> tatements made on this application are complete, true and correct. <br /> �,� '/�� � /� � <br /> licant' s Si nature: 'z`�1-.c-��� ���` �J Date: �� � f �Q ( <br /> Fp g <br /> � <br /> � <br /> � <br /> ` <br /> # <br />