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��'� a3�� <br /> ��.�-".�- <br /> *WOOD BDRNING EQIIIPMLNT $15. 00 each unit <br /> Wood stove with f lue <br /> Wood combination or add-on unit <br /> �Factory fire�lace with flue -- �u�� <br /> Factor Fireplace (s) freestanding Masonry - C �s�� a <br /> Wood Stove ( ) franklin, ot�er��Ul-�,�,��i� �(ejZ � <br /> Brand Name � ��S'�C� Mode 1 <br /> Mfgr' s Min. , earances, side � , rear �1`� , min. flue dia. ' �� <br /> Total <br /> ******************************************************************************* <br /> VENTILATION $15.00 each project <br /> No. Ritchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locations cfm <br /> Total <br /> ******************************************************************************* <br /> FU$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 <br /> **�**************************************************************************** <br /> GAS LINE INSPECTION <br /> High/Low Pressure $15. 00 <br /> ******************************************************************************* <br /> PERMIT FEE CALCIILATION �/ <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ 7�� <br /> 2 . State Surcharqe. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> 3 . Postage and Handling on all mailed-in agplications, S 1. 50 <br /> 4 . TOTAL PERMIT FEE add lines 1-3 above S <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 ar, <br /> the regulations of the Minnesota State Building Code, and certifies that al <br /> statements made on this application are complete, trve and correct. <br /> V � <br /> Applicant' s Signature: • Date: y �� <br /> c�,w�+e�n,�s: e�t.e,ra,�(�� u�'� �'��`�'� t . (]— <br /> � 1 ,��e.sn.) <br /> U�,£ rs �tusd��t�• �io�c --u��' <br /> e�s� � �eod�b c�c t�s�- - <br /> � �� 5� � ��� ¢ r�. c� 1��, <br /> ��c�- `� <br /> ��. �.�b -�� ����s, � <br /> � �, < <, <br /> M � � t�,�. <br /> � <br />