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� <br /> *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 /> BrandName Model No. ' <br /> Mfgr' s Min. , Clearances, side , rear , min. flue 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: 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 L INSPECTION <br /> High Low Pressure $15. 00 <br /> ***** ***************************************�******************************** <br /> P$RMIT FEE CAI�CIILATION � <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 applications, $ 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 and <br /> the regulations of the Minnesota State Building Code, and certifies that all <br /> statements made on this app lication are complete, true and correct. ; <br /> �4'/J� �/� ���.. v� i-�N�F�/o <br /> A�plicant' s Signature: �,�-�� Date: � r� — y� <br /> � <br />