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' . �. <br /> *WOOD BORNING 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 /> No. Kitchen Exhaust ducted recirculating cfm <br /> iv�. +� n �-- � ` .,,-L�,a �.��g; ao) —_ c-fm <br /> (��y(,.� y�1111C111:71. \a114^J�. � �u�.+..�-.+ <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 /f� �� � �y ��� �'-' <br /> High/Low Pressure -(-c: � 1'"��/��=�— $15. 00 <br /> �c***�ticyr**�t*�tirir*x*iryi�k�c�ix7cirFx�cic*:F�* .'t�*k�•'.'�t'.c*�"�'#=f'!�*i`***}**�iric*�t*�k*******ir**�Ir*�t**** <br /> PSRMIT FEE CALCOLATION � �, �i �l <br /> l. 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 /> s+atements made or_ th?s ap�licatz.on are complete, true and correct. <br /> ' ature: �G ,!� Date: / � �'� <br /> A�plicant s Sign <br />