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� �� � <br /> . � CiTY OF ORONO _ . � 612473051D . 02/21./97 15:28 � :03/03 No:396 <br /> � � .. � Woad stove witb flue � � <br /> � � . � � �: Wood cou�bi,uat�or� or add-on � � � <br /> . . � �� � � . ��� ,� Factory.fireplace with flue � . � <br /> . � � � . �� �actory�Pireplace (s) � Freestanding ____�; Masoary � . <br /> � �. � . � . �� Waxi.Stove (s) � � Frankiin, oiher . <br /> � �__-__ _..�,. <br /> . . . . . Bf.3lld'.1v312�C'C��1,��Y 1 �°-'Y,. ,�., ' �11TOdC� �D.�'���� -�C:1� '''" 'l��Ii�Af� <br /> . � . � IvTfgr's.Ivfin,. Clearanc�s, side �1 , rear �_, min. flue dia. /'�� <br /> _� <br /> � �� . <br /> � � . .�. v�v�.�T�c�x . <br /> : � No..� K�tcher� Exhaust � duct�d recirculating cfm � <br /> ; No. � Bath Exha�tst fmust be ducted outside} .� cfm , <br /> �, h1a. __r___ Other:Fans: �,ocadons � � cfrn <br /> � ��'�`Qll�GE (MU�T• B£ APPROVL'D BY FIRE MARSHAL) � <br /> InstaUati�a . Removal <br /> rveJ nil; �allos}s � �erground _:___` insrde outside <br /> LP Gas: �llorts � <br /> ___.� ..�.� <br /> � � Other Gas opening <br /> � � F.�'s�$�T F�;�CA.L��ILATIODi <br /> : 1. ` 1.23% of �onJ�fl��,}�e�' ar �Bi�F� �ee (S3� <br /> � ���a�'�-��, ` ` x .012� � ��� .�--`�. <br /> t�au�ct pricc? <br /> 2. Statc SurCha��. ** Add the State Buildiag Code Divisio� <br /> � . Surchatg� to each �rmit. x .0005 $ �j�� _ <br /> � � <br /> or $.50; whichever is greater (c�acrazc pricc) <br /> 3. '��a�� a�nd I�a:�d in� (Ouly 1nai1-in aPPlicacions) 5 I.50 <br /> � 4. TOTAL P�iNiIT FF.E (Add lines 1-3 above) $ �=�2:��; <br /> � . * COhITRACT PRICE or JOB COST means c�e scwal or estimaEed dot�ar am�ouuc c;ttatged for,rhe peciaitted <br /> worY �aciucisng materi9lB, labor. profit, ar.ci ocher t�xcd cous. It is tha umoutit co be chprged ►o the <br /> . cuscomer.for the work done: if any mace�ial� cc{�+ipmeut. labor� or iaualiatinu are thrn}shed by [he owner, <br /> � � � cenanc or any othe�,parcy �be re�on�ble macicec value of such icems must be added to the cstfrnetecl cosc <br /> � . � , or coatract�ric�for permit fce piuposes: I�che even[ chsu there is a dispute nn the amount of the job cost, <br /> � cha Ci�y mAy requeec tbe submission�f a signod copy of the actual contract. <br /> � ��► :The STATE Si�RCHARGB is .0005 of xhe cpnuact price undu 51.000,000 or S.50 - wh�chcvcr is <br /> �rcater. FOT V8�U3[IG11]S AVCf SI;000:000 ealfi the Daparcmeat of inspectional 5erviccs fot the price. <br /> . � 'I'�e�:unciersig�ed, hr�reby. applies [o che City for�issuance of a Mecbanical Pernut, sgrees to dv <br /> aJF wock in strict acwXdance with the orduaanccs af tbe�Ciry and the, regulations of the MinnesQta <br /> . � � State �uilding Cocle, and certifies that all statemec�is.made on this application are complete� true <br /> . . : and.corr�ct. <br /> . Appli�ant's Signstute;r' �'�� ' � Date: ��� �I��`� <br /> . Approvcd By:. Date: <br />