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� ' � <br /> . a_ ., <br /> *WOOD 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 /> VENTI7�ATION $15.00 each project <br /> tvo, Rit�hen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. Other F�ans: Locations ��'�� <br /> Total <br /> ******************************************************************************** <br /> FIIEL STOR�GE (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 /> Hign/Low Pressure $15. 00 <br /> �******************************************************************************* <br /> p$RMIT 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 agplications, $ 1. 50 <br /> 4 . TOTAL PERMIT FEE add lines 1-3 above $ 3 z. = �� <br /> The undersigned hereby applies to the City of issuance of a Mechanical Permit, <br /> agrees to do aii work ir: str�ct accordance with the ordinances of the City and <br /> the regulations of the Minnesota State Building Code, and certifies �hat all <br /> statements made on this application are complete, true and correct. <br /> Applicant' s Signature: �' � V , � Date: lt3 i�''` `� <br />