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� <br /> a <br /> *WOOD BIIRNING EQIIIPMENT $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. Ritchen Exhaust ducted recirculating cfm � <br /> No. Bath Exhaust (must be ducted outside ) cfm <br /> No. Other Fa_^.s: 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 � <br /> LP Gas, gallons <br /> Other Gas opening <br /> *******************************************************************************� <br /> GAS LINE INSPECTION � <br /> High/Low Pressure ��.�n n 1 �� $15 . 00 <br /> ��****�****************************************�*******************************- <br /> P$RMIT 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 �ermit $ .50 � <br /> 3 . Postaqe and Handling on all mailed-in applications, S 1. 50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ .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 anc <br /> the regulations of the Minnesota State Building Code, and certifies that ali <br /> statements made on this application are �cpmplete, true and correct. <br /> �� / ,_ <br /> Applicant' s Signature. � - � - Date: - <br />