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, { ' � ' <br /> i <br /> *WOOD BIIRNING EQIIIPMENT $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 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 /> � <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 LINE INSPECTION _ <br /> High/Low Pressure $15. 00 <br /> ***********************************************�******************************* <br /> PERMIT FEE CALCULATION <br /> 1 . Total of above Installations or Minimum Fee ($30.00) $ , ,�`�_ <br /> 2 . State SurcharQe. 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 an <br /> the regulations of the Minnesota State Building Code, and certifies that al <br /> statements made on this appZication are comp7.e�e, true and correct. <br /> Applicant' s Signature: �/� _�C� I�(��,��,1�� � ���� Date: l�-,3�-�/ ,� <br />