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� • <br /> *WOOD BURNING _EQUIPMENT $15. 00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireplace with flue <br /> . Factor Fireplace (s) freestanding built-in <br /> ' Wood Stove (s) franklin, other <br /> __ _ _ ._.. . __ .. _ . _ <br /> BrandName Model No. <br /> _ .. _ .. _ . . -- <br /> Mfgr' s Min. , Clearances, side , rear <br /> , min. f lue dia. <br /> Total <br /> ****************************************�************************************** <br /> VENTII�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: LccaLions c=„ <br /> Total <br /> ******************************************************************************* <br /> FOEL. _STORAGE (must be approved by fire marshal) <br /> �C>.��'= � 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 /> ���iIT �1sI3 CAY.CULATIOIS <br /> i. i0i.ai �i a�G"vc ii18�`.uiiativl'iS Oi r�-�izaiuiaiu i�SE {_Y�Q•��•!_ Y �>,Qp <br /> 2. State Surcharc�e. Add the State Building Code Division <br /> Surcharge to ea'ch permit $ .50 <br /> ;; 3. Postage and Handlinq on all mailed-in applications, $ .. 1.50 <br /> 4. TOTAL PERMIT FEE add Iines 1-3 above $. _ � �,c�> <br /> � The undersigned hereby applies to the City of issuance of a Mechanical Permit <br /> agrees to do al I work in strict accordance with the ordinances of the City anc <br /> the regulations of the Minnesota State Bui lding Code, and certif ies that a 1 = <br /> statements made on this application are complete, true and correct. <br /> Applicant's Signature:�_:J ` ' Date:_ . //-��-y/ <br /> �7'!zC-rf.� <br />