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CITY aF ORONO � b124730510 04IG9i99 13:32 � :a5/0� N�:536
<br /> ,
<br /> I WnOD BLTI��J�` t:.�����'�
<br /> � VV'caod stov� wlth flue ,
<br /> '�daod cambinatian o�r scici-an
<br /> , � Pa�toir� firrp��.c:o wiih fluc
<br /> FaGfc�ry �ireplace (s) �.� Frecstanding _ Masos�ry
<br /> � �Jut�d Stove (s} �'ranlrlin, ot�r
<br /> . �rat�d Na� � Mcxiel Mo. �
<br /> �Vifgr's Min., �lea�'�nces, sidc� ,,,;,,,, r�u�,�� min. flua dia� �
<br /> �"��,Y..ATlbl�
<br /> Na, i Kitchcn Exhaust �,�ducz�d r�circvl�ting � cfm
<br /> No. ^�V I�att� �xhaust �must-bc duct�d autslde) cfm
<br /> .-.�..�.. �,_�,__,
<br /> No. � dt3�er Fans; Locatior� �� cfm
<br /> �
<br /> ��",��$�:,�'e (MUST' HE l�P�R�VED B� FIR� MARSHA��)
<br /> .,,�,,,,,; I��tallati�r� ,�,�_ RecYwval
<br /> ,��;; Fu�l ai1: ` $allo�s uncier$round ^ 1TY6Id8 Otll'SIdE
<br /> ,T� �,P Gas: � gallons �
<br /> At�her C�as opening
<br /> � � � ��,
<br /> ��.��iSr�c�e,���
<br /> 3.. 1;�5 5� of��i��'" ar 1�`I��'���
<br /> �` :�„�,.o��. x .a�2s � 3 -�s% �o
<br /> , (Gancra�t pdaa� --�-�.-�-Y�,...
<br /> ` 2: ,�t�t� ,�y�,Tgg,t. '"* ,�,dd che 5tate �iuilding Code 17ivisic�n
<br /> Surcharge ta eacri permit. ,,,�,,, x ,U�OS $ „�...�-j����.
<br /> ; �r $,SQ, w1'�CllCvet' �s �re�ter (�antract prico)
<br /> 3, ,���„�,.,��.�}g (�n�y maii-in applic�tion5) $ �,^�
<br /> �. '�UTAL, P��tM�'� FEF, (Add lines 1-3 �ba�ve} $ �. �- o
<br /> * Cf3NTT�AC�'PRYCE or 1C1B CqS�C C�C9UY9 t�1!!ACLt1A� 4!"d9(IfilA1CCI vO�ZA! amau«t ah�s'ged P�r lh�r p�cm'stted
<br /> w�rk includin� �nerariala, l�bor, pratir, and othcr ti�[scl costs. [t is the mrnoUnt t� he chaxged ta ihn
<br /> cuacamer for the wc�r&dcirrc. If��y tr�ttc�ial,aqu�p�att, l�twr, or inatallatiatl arc P�srnished by the pwnor,
<br /> �e�nt or�sy otber pa�ty th� reasdnabla t�a.cket valuc o!�uc1� items rnuat be a�ide� ta thc,estirn�tad cori�
<br /> �cQ,uract price fur permit fce ptuposea. In che event rh�t the�e i�r d4spw�e an the umount �C the job cost,
<br /> lh� �iry may requa�t t�c �u6tmi�sEon of e ei�ncd cc�py ol t�c t�lual con�ract.
<br /> ** The S"CAT�'St1RC��iA,�4t3�t lA .QOQS nC th� cantract pr9te under 3S,OQD�04p �r �,5t3 - w�hfchevcr is
<br /> grenter. Far valuutioyis ovcr S1,fH�,000'c�11 the Tfepartment af lnapeccional SGcvlt�em for lhc �r�ce.
<br /> Th� �rnacrsi�c��a he��by ap�lias ca �hc Ciry for i��ua:�e af s M�chxni�$I �crmi�, Hgc��s to clo
<br /> atl wrrrk in s�rict ac�arda�ce with th� ordit:a�cca af the City a�i th� �regul�tion� af th� Mitu��sota
<br /> St�te Butldir� Cucle, and ccrtiPics that�11 st�t�rnents m�de an this applic�tion a�� complete, crue
<br /> and corrcct.
<br /> A t�cantya Si /� ��
<br /> ,�� �nature: �/ �_� ._ nasc: �C( �
<br /> ' APPzavad Py: ,,.�.�,,,_,.. �ai�;
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