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*�OOD 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 /> VENTILATION $15.00 each project <br /> Nc. Kitchen Exhaust ducted recirculating cfm <br /> No. 1i Bath Exhaust (must be du��ed outsi�e? ��_ cfm <br /> No. Other Fans: Locations cfm <br /> M (� � , Le�v'�(o� jS-o C°�' N� 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 I�INE INSPECTION <br /> High/Low Pressure $15.00 <br /> ***,t********�r*****x*******xx**x*x�i**y:t**ic********,t*********�k*******,t*********** <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, S 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 - p 1 caticn are te, true and correct. <br /> � <br /> AFplicant' s Signature: Date: ! � 6Z � � <br /> ; <br />