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. <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 /> l' <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 5 <br /> ******************************************************************************** <br /> VENTI7�ATION $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 F, <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 $15. 00 „ <br /> ******************************************************************************** , <br /> � <br /> P$RMIT FEE CALCULATION <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 �ermit $ . 50 <br /> 3 . Postaqe and Handling on all 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 this app lication are complete, true and correct. <br /> Applicant' s Signature: --�J�� C� ,c�ts� Date: q- �G •� Z <br /> � <br />