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� <br /> . �Sep-28-2000 01 :5@pm From-CITY OF ORONO +9522494616 T-700 P.003/003 F-603 <br /> • ' ' 2.. <br /> FI��Y,ACES <br /> Gas factor� fireplace � <br /> � VVooc� bur.�ing factory fireplace wit� flue � <br /> Waod Stove <br /> Wood stove with flue <br /> Brand Name ' Madel No. <br /> y�yE �XLATION <br /> No. Kitchen Exhaust ducted recixculating cfm <br /> NQ• Bath Exhaust (must 6e ducted outside) cfm <br /> No, Other Fans� Locations �� <br /> �'UEL STOR.AG�E (MUST BE APPROVEp BY FIRE MARS�TAi;) <br /> Installation Removal ' <br /> � Fuel oil: gallons underground inside outside <br /> LP Gas: galloAs <br /> Oiher Gas apenin� <br /> I�'E�XT FEE CALCULATION <br /> 1- �,25% of.�ontract Price* or�Iinimum F�� ($35 001 <br /> aoqoo � ,.— x .0125 , $ o�s0 • o� <br /> (conuact prica) <br /> 2. Stace Sur r e. ** Add the State Building Code Division <br /> Surchazge to each permit. ; __o�o � x .0005 $ ! O . �� <br /> or $,50, whichever is greacer (coutract p�rice) <br /> 3. Pos and Handlir�g (Only ma.il-in applications) � $ I:50 <br /> 4. . TOTAL PERMTT FEE (Add lines 1-3 above) $ �� � � . � <br /> * CONTRACT PRICE or JOB COST means che acnsal or estimated dollar atuount charged Por the permiued <br /> work incIuding ma�exials, labor,profir,and other�'ixed costs. It i9 the Am,ount to be chatged to the cuscomer <br /> for the work done. If any mater;ai, equipment, labor, or it�stallation are fu�nished by the oUvnsr, tenant or <br /> any other parry the reasorlable markei value of such i[ems must be added to the estimated cost or convact <br /> price far permit fee purposes. In the event chat chere is a disputs on t}1e amount of the job eost,the Cicy may <br /> requesc the submission of a sigued copy af the actual con[rac[. <br /> "'* Tbs STATE SURCHARGE is .000�of the contract price under$1,0OO,OQO or $.50-whichever is grea[er. <br /> For valuations over$1,000,000 call the Depanmenti of InspeCtional Services foT d�e price. <br /> The undersigned hereby applies to the Cicy for issuance of a Mechani.cal Permit, agxees to do all <br /> work in strict accordance with the ordin�►ces of the Ciry and the r�gulatior�s oF the �Viinnesota <br /> StaCe Bu�lding Code, and certifies thac aIl scatements made on this app�ieation are camplete, true <br /> and correct. <br /> Applicant's Si,gziature: � Date: _q��,'��� O O <br /> Approved By: Aate: ��'�`� -f� <br />