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Nov-29-2000 11:�8pm Prom-CITY Of ORONO +8522494616 T-D5Q P.002/042 F-5T6 <br /> f . <br /> ` FIR�PL�S � <br /> � Gas fact��ireplace <br /> • ` 'Woad bzu�ng faccory �replace with flue <br /> � � �T Wood StUve � <br /> � Wood stove with flue � � <br /> ' Brand Narde . Mode:ivo. <br /> 'vENTII.ATY0;�1 - . <br /> NQ. �'.itchen E7chaus: ducted recirculating cFm <br /> No. �3ath�xhaust (must be ducted outside) � .�,cfm � <br /> Na. Other �ans: Locations :r cfm <br /> FUEL��RAGE (1VSUST BE APPRUVET�BY FIRE NxAYtS�H�%:.�} <br /> . Yrlstallstion Re�oval <br /> ; �__ Fuel oil: _ gallons �_� anderground i_ __ inside outsiAe � <br /> �p C`ras: �__ �ailons - <br /> � Othex ��_^,�..., __ � _ _. Gas.opening <br /> PER��T FEE CALC�'�I� <br /> 1. . �..25% of�nn'act Price* or � " um���,� j� ` <br /> ��� �. X-.01��5 $ ��,;�C' <br /> ���.1� ; ...__ .- <br /> (conuacC price)� <br /> 2, Scate Surch��_ *'" Add the State Build.ing C�ie Aivisibn � l <br /> Surcharge to each permic. ___;,�,�TC%�-�`_._ x .�� $ �° �' } _ <br /> � or $.�0, whiCh�vCr is greater (contrace price} <br /> 3. �psta�e and Handli� (Only mail-in apptic�tions) $ __.._. � <br /> q. TOTAL P�RMT'Y'FEE (Add Iines 1-3 abave) , $ � <br /> + CONTRAC7 PRIC�or 308 CUS i means the ac[ua1 or estimatccl do:I�:amount aharged for the permitted � <br /> work including materials,laoor,profit,and other fixed costs. It is the a�r4Wi[to be c�Zged to che custoiner <br /> for the work done. IP any material,eq�ip�uent, labor,oc�nscallaaon are fus�shed by the owner;iepan�oc <br /> any othec parry°.h�:reasoqable markec value of such i�ema must be add�d'tn the estim�ted tost or conuac� <br /> � price for permiz fee purposes. In the event[hat ttzere is a dispu�e on.the v.maunc of ihe job�cosc,che Ciry may . <br /> requess�he sub�z►ission of s signed capy �f the actval couuact. . <br /> +� 7Ae STATE SURCHARirS is.Ou05 oFtiie contraet ptice undeT$i,000,�300 or �.50-wai�hever is greaur. <br /> For valuations over$1,000,000 eatl the Dtparcrnent of Iuspec�ional Se:vices for the priee. <br /> The undersigned hereby appli�s to the Giry for iss�ance of a Mect�a�ical Permit, agre�s xo do all <br /> work in strict accordanc� wich tho ardinances of the Ciry and th: r�gulations of.che�Minneso�a <br /> Sta[e Building Code, and certifies chat all stacemeucs snade�an tt�is applicarion-are complete, crue <br /> and correct. � . <br /> , � , " � <br /> ��� Aate: -� ' i <br /> Applicant's Signacure: � . - . <br /> ApQroved By: _ Date: ' <br />