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. � <br /> *WOOD BIIRNING EQIIIPMSNT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fire�lace with flue <br /> �actor 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 /> VENTII,ATION $15.00 each project <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locations cfm <br /> Total <br /> ******************************************************************************** <br /> FII$L 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 � ����%'�' ��'4� <br /> ****************************************************** ************************* <br /> GAS LINE INSP�CTION <br /> High/Low Pressure $15. 00 <br /> ******************************************************************************** <br /> PERMIT FEE CALCOLATION <br /> 1. Total of above Installations or Mini.mum 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 and <br /> the regulations of the Minnesota State Building Code, and certifies that all <br /> statements made on this ap ' cation are complete, true and correc�. <br /> ;' <br /> � � ' 3 �, <br /> Applicant' s Signature: �-� .� Date: � ��` 1� <br />