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FIREPLACES <br /> t/ Gas factory fireplace <br /> Wood burning factory fireplace with flue <br /> Wood Stove <br /> Wood stove with flue <br /> . <br /> Brand Name /�'1 p,j L ST1 C Model No. y � �l3 ,[) �' j�' /�/ <br /> VENTILATION <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. rJther Fans: Lo�ations cfm <br /> FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) <br /> Installation Removal <br /> Fuel oil: aallons underground inside outside <br /> LP Gas: aallons <br /> Other � Gas opening <br /> PERMIT FEE CALCULATION <br /> l. 1.25% of Contract Price* or Vlinimum Fee ($35.00) <br /> �''; �n�;� .`: x .0125 $ �s : C� U <br /> (contract price) <br /> 2. State Surchar�e. ** Add the State Building Code Division <br /> Surcharge to each permit. ��/, C c:'U `= x .0005 $ • S � <br /> or $.50, whichever is greater (contract price) <br /> 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ :3"I• �� � <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted <br /> work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer <br /> for the work done. If any material, equipm�nt, labor, or installation are iurnished'o�the owner, tenant or <br /> any other party the reasonable market value of such items must be added to the estimated cost or contract <br /> price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may <br /> request the submission of a signed copy of the actual contract. <br /> ** The STATE SURCHARGE is .000�of the contract price under$1,000,000 or $.50 - whichever is greater. <br /> For valua[ions over $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the Cin� for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the Minnesota <br /> State Building Code, and certifies that all statements made on this application are complete, true <br /> and correct. <br /> , <br /> Applicant's Signature: � � ��� •��L-�.�� �� � • Date: � (� U� <br /> Approved By: Date: <br />