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ti � � . <br /> *WOOD BIIRNING EQIIIPI�NT $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 Niasonry - <br /> Wood Stove (s ) franklin, other <br /> Brand Name Mode 1 No. -- <br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> 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. 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, ga lons <br /> Other �t"/!'�'4!��?� .. Gas opening <br /> ******************************************************************************* <br /> GAS LINE INSPECTION <br /> High/Low Pressure $15. 00 <br /> ******************************************************************************* <br /> PERMIT 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 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 application are complete, true and correct. <br /> ' � � � (.�`� ,. /G' � •2' G/ <br /> Applicant s Signature: yr„ ��.�-` Date: <br />