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,. � ^ � <br /> *WOOD BORNING EQIIIPMENT $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 /> 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 Exhaust ducted recirculating cfm � <br /> No. Bath Exnaust (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 /> ****************************************************************************�*� <br /> GAS LINE INSPECTION <br /> High/Low Pressure $15. 00 <br /> ***t****#****�*�********************�****************************************** <br /> PERMIT FEE CALCIILATION <br /> 1 . Total of above Installations or Minimum Fee ($30.00) $ ,�(;', c= �% <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 applications, $ 1.50 <br /> 4 . TOTAL PERMIT FEE add lines 1-3 above $ �;1 � c? �-' <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 an <br /> the regulations of the Minnesota State Building Code, and certifies that al <br /> statements made on this app�ication are complete, true and correct. <br /> � - �� � � �.� Date: (�; _r-. __ � z� <br /> Applicant s Signature: ,� �1—C-�<-- <br />