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*WOOD BIIRNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fire�lace with flue <br /> Factor Fireplace (s ) freestanding Masonry <br /> Wood Stove (s ) franklin, other <br /> Brand Name Mode 1 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 duct�d outsi�e ! cf:r� <br /> No. Other Fans: Locations cfm <br /> Total <br /> ******************************************************************************** <br />� FOEL 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 /> ******************************************************************************** r <br /> PBRMIT FEE GALCIILATION <br /> 1. Total of above Installations or Mini.mum Fee ($30.00) $ .�C,C'(: <br /> 2. State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ .50 <br /> 3 . Postage and Handling on all mailed-in applications, $ 1. 50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ �3��•C: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 and �. <br /> the regulations of the Minnesota State Building Code, and certifies that all . <br /> sta�em�nt� ma32 on this ar�,iica�ion are complete, true and correct. <br /> .�=� / '� C_� � <br /> Applicant' s Signature: � r�/�, � f ` ' ��`7 Date: � ��' "�L <br /> (! " <br /> l <br />