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, 0�/30/00 WED 10:07 FAX 6127797445 AIRTECH ENVIRONMENTAL C�003 <br /> � kuQ-Y8-20�q 04:44pm fremfilTY OF ORONO +p63Z464816 T-468 P•OG2/AOt P-06Y <br /> �'Y��FL�� ' , .. • <br /> ,_ Gas fa,c�aiy firepl�ce <br /> Woad buraing factory f�rcplate with flue <br /> , � 'GVo�d Sto�v� � <br /> � 'YVood stovc with flue' . <br /> � <br /> 8rarudl�Txa�m.e � MadelNa. � <br /> ��kl�TION. , . . <br /> No'. Kitchea Bxhaust ducted recircu4�ting � cfm <br /> N�o, Bdt$�RI��,1St (mi15t be dtlCted OI1TSide) _ c#h1 ' <br /> �4� �T P�: IAC�'ClQ17S � _„�„_,,,C�1 <br /> Fi7EL �'Q�� (MIUST�E�APp�O'V� BY FTRE MA1�tSY�A�.a <br /> , � It16ea11At�On .,,�_ R.eIa�OVal <br /> � �,� F�el oil; �Q $�llons � wadergrsaand inside Y ar�tside <br /> - � �as: � gallons <br /> Oth�r �, Gas npcning <br /> • �F$��T�+�+.5•ALCIILATI�N � <br /> 1. 1.�5°lo o�Con act�'ric�* or ' ' � <br /> �W-(cLlo O x .012� � �� 5� <br /> an cprlcey <br /> 2. �.�r �,��;ge. *� Add t]]��ee State Buildic�g Cot1�Division . �� <br /> Surclut�e to each peraait. x .00aS $ �� <br /> or $.50, wl'iicheve�r�s ��ater (canrra�c pric6) <br /> 3, . Fng�avp s�n� H�dl'��ng (QAIy Ix�il-iri Rpp11C�['1oC19) 1. <br /> 4. T4T�,P��'1�8 (Add lines 1-3 above) � * 1 R. ._ /`7�v����� <br /> '" COtYTka.AC7'pRICF or I0�aC:OST nkeans the aatual or e3titz��ed dollar amount Ct�rged�or t�d p�rmi[�ed. <br /> work inClt�ditlg t��tezials,labnr�profit,a�d o�ber�xed cas�. It ie t13s amouszt to be a�ged to the autr��lar <br /> for��he work done. IY aoy Wat�riat, �quipment;l���r, or in�►talladon�.*z furnl�hed by t�e ow�ar,teaaAt or <br /> any 4�t parry the xaesomable�arket value af sucti imms uiust bm addod�o tha astim�t�d cc�at br co�ttecc <br /> ' price for parmii fee purpasas� In t1:C tva�t rmat checc is a�i9puta�1�e a�cu�t of the job oost,the�iry'ruay <br /> reqt�st ths submiesioA of a si�aed eopy of the sctual contract, ' • , <br /> �'�' 'Phe STATP�SYJRCHAAOE�u.0003 of tiu Co[urac�gcice uo�der$',A40.Q�0 or $.50•w6fchevec ie�reatex, <br /> • Fqr valuatios� ovor$1,QOQ,bab aall the Aepart�aaiu ofiInspectioaal 5arviee8 for�hs price. <br /> T$e undcrsi.�n�d hcrcby �pplie�ta the �ity for issu�rsce a�a Mechaui.��1 Pern�ii, agteas�o da q�l <br /> � w�rk ia �xxict aocard�nce wi'th �Ch� ardit�ai�ccs Qf thr City a�d tY�c regul�tiama a�the Minnesota . <br /> State��u�airig Cad�, �nd cerrlfies rha�all statements�uade on th9.s appli�:arion arc c+amplete, truc <br /> and'c.nrrect. <br /> Applic�nt''s Si�xt�f�#Y'c= C T?at�: �-2�-00 <br /> � . AppravedBy; l"-�..,��.:.._. ��"1-z�„7� _�f�l. _ Date: � S�U�� <br /> c��'��r 9'�i /o c� .. <br />