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<br /> AIR CONDITIONING $20. 00 each unit
<br /> Central Air Separate Central Air Sy,�tem ,
<br /> w/f urnace
<br /> Brand name Model No. Tons
<br /> Total
<br /> ********f***f***********************************************�**************
<br /> *WOOD BORNING EQUIPI�NT $30. 00 each unit Wood stove with flue
<br /> . , .,
<br /> � � � $30. 00 each unit Wood combination or add-on unit
<br /> �-� � ' •- K � $30. 00 each unit Factory f ireplace with f lue
<br /> Factor Fireplace (s� freestanding built-in
<br /> Wood Stove (s) franklin, other
<br /> �� Brand Name - " Mode 1 No.
<br /> ' °Mfqr's Min. , Clearances, 'side , rear , min. flue dia.
<br /> _ . Total
<br /> �*�ra�*�r����*,��re�*ter*****���er***��rr****�*�,**t�*******�,r**,�rr�r*,�*,r****rr*****�r,��*
<br /> ' � VENTILATION � � $5. 00 each exhaust fans, (bath, kitchen,
<br /> attic, etc. ) ,
<br /> No. Kitchen Exhaust ducted recirculating �,o cfm ���
<br /> No.� " Bath Exhaust (must be ducted outside) tio cfm ,�'
<br /> No. Other Fans: Locations cfm �
<br /> Total
<br /> - *******,r*****�**************�**********************************************
<br /> FUEL STORAGE (must be approved by fire marshal ) $20.00 Permanent .
<br /> $10.00 Temporary
<br /> Fuel oi'1,� � gallons underground inside outside
<br /> � LP Gas, gallons
<br /> ' � Other '
<br /> '- ***+r�r,rt#**t#�*�r***�*********************************************�**********
<br /> �SPRINRLER SYSTEMS , Minimum $20. 00 each system
<br /> Number of Heads No. of Risers $2. 00 per head
<br /> . . : .*,�*�#********************�***********«*rr********,r***********�*******,r******
<br /> � G�S LINB ZNSPECTIOI�i
<br /> ';' High%Low Pressure � $30. 00 �
<br /> ... *#ttkt+kt*�*,tf,t#tt*,t,tfe*************************************rttr****************
<br /> . -. . ' . . PERMIT FEE CALCOLATION
<br /> - - 1. Total of above Installations or Minimum Fee ( $25. 00 ) $ �C.� ��
<br /> ._ . 2. State Surcharge. Add the State Building Code Division
<br /> Su+ch�rge to ea�h permit $ . 50
<br /> � � � ' �' 3. " � Posta�e and Handling on all mailed-in applications, �-1. 50
<br /> 4• y �QTAJ�,��RM�T ,F�E add lines 1-3 above $'��
<br /> The undersigned hereby applies to the City of issuance of a Mech�nical
<br /> Permit, agrees to do all work in strict accordance with the ordinances of
<br /> the City and the regulations of the Minnesota State Building Code, and
<br /> certifies that a�.l statements made on this applic 'on e �omplete, true
<br /> and correct. � ' ` ' // /� - '
<br /> / / ' C /
<br /> . . . .. ...,t / / ,� , '
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<br /> � � ��--� - - �-Applicant � � � �z Date ��" � "�
<br /> ... ..
<br /> .. Y• �e,. . . . � u A�. N..'' ., r� M . .. . .. . . . � ' � ' •
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