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I <br /> *WOOD BIIRNING EQIIIPI�NT $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. Kitchen Exhaust ducted recirculating cfm � <br /> No. Bath Exhaust (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 "i <br /> LP Gas, gallons <br /> Other Gas opening <br /> ******************************************************************************* <br /> �INE INSPECTION <br /> Hi Low Pressure $15. 00 ✓ <br /> ******************************************************************************* <br /> PERMIT FEE CALCIILATION <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 permit $ . 50 <br /> 3 . Postaqe and Handling on all mailed-in agplications, $ 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 an <br /> the regulations of the Minnesota State B ' ' ng Code, and certifies that al <br /> statements made on this app ' ca ' n are c mplete� true and correct. <br /> � \ <br /> Applicant' s Signature: Date: � � �- <br /> � <br />