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� <br /> *WOOD BIIRNING EQIIIPI�NT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireFlace with flue <br /> Factor Fireplace (s) freestanding Masonry <br /> Wood Stove (s ) franklin, other <br /> Brand Name Mode 1 No. ` <br />�, Mfgr' s Min. , Clearances, side , rear , min. flue dia. ¢ <br /> Total <br /> ******************************************************************************** <br /> VENTILATION $15.00 each project <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 /> ***************************************************************�r**************** <br /> GAS LINE INSPECTION <br /> High/Low Pressure $15. 00 <br /> ******************************************************************************** <br /> PSRMIT FEE CALCIILATION <br />� 1. Total of above Installations or Minimum Fee ($30.00) $ ��� <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 agplications, 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 al 1 work in strict accordance with the ordinances of the City and <br /> the regulations of the Minnesot State Building Code, and certifies that all <br /> statements made on this app li on re mplete, true and correct. <br /> `� G` // <br /> L� � <br /> A licant' s Signature: � ��� Date: `� -�� <br /> P� <br />