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. , � <br /> _ _. u . .� - _ , _, _ � <br /> *WOOD BIIRNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue <br /> �Wood combination or add-on unit <br /> actory fireFlace with flue <br /> Factor Fireplace (s) freestanding Masonry <br /> Wood Stove (s ) VQ� franklin, other <br /> BrandName �j Model No. <br /> Mfgr' s Min. , Cl rances, side �, rear �'' , min. flue dia. � '� <br /> �� Total <br /> ***********************************************************************�t*******� <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, gallons <br /> Other Gas opening <br /> *********************************************�********************************** � <br /> GAS LINE INSPECTION <br /> High/Low Pressure $15. 00 <br /> ***********************************************�******************************** <br /> PSRMIT FEE GALCIILATION <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 . Postage and Handling on all mailed-in agplications, $ 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 /> � �- ____� <br /> Applicant' s Signature: Date: — - <br />