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* <br /> � <br /> � *WOOD BIIRNING EQDIPI�NT $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 /> ' BrandName Model No. <br /> ' Mfgr' s Min. , Clearances, side , rear , min. flue dia. _ <br /> 4 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. uL'ner Fans: Locations cfm <br /> Total <br /> ` ******************************************************************************** <br /> . FUEL 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 $15. 00 <br /> ***********************************�***�**************************************** <br /> P$RMIT FEE CALCULATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ -3e* 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 $ �s . ��� <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 />- � statements made on this application a�e con�plete, true �nd c:�rrect. <br /> Applicant' s Signature: r� �-'�---�-Q.� Date: / � -�� - `�� <br /> � � Sy � <br />