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l;l 1 Y Vt' UKV1V V HYYL1l,H 1 iV1V t'VK 1Vl�l;tiHlVlI;HL Y�KMI 1 Page 2.of 3 <br /> COOLING SYSTEMS <br /> Quantity: ' <br /> Make: <br /> Gl✓�1 ��/ ' <br /> ModeL• �Pf l r/JJ(/`�p,���� <br /> Tons: <br /> H.Power <br /> FIItEPLACES <br /> Gas factory fireplace <br /> Wood burning factory fireplace with flue <br /> Wood Stove <br /> Wood stove with flue <br /> Brand Name Model No. <br /> VENTILATION <br /> No. Kitchen Exhaust duct recalculating cfm <br /> No. Bath Exhaust(must have duct outside) cfm <br /> No. Other Fans: Locations cfm <br /> FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) <br /> Installation or Removal <br /> Fuel oil: gallons underground inside outside <br /> LP Gas: gallons <br /> Other Gas opening <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute Yes This Section Applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1) Does not require modification to electrical or gas service. <br /> 2) Has a total cost of$500.00 or less;excluding the cost of the fixture�r appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 __ <br /> State Surcharge $ .50 <br /> - <br /> Mail-In Fee $ 1.50 <br /> �ve oes not app y, o ow gu—i�e�nes e ow: <br /> 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) <br /> --- � ----- �---- �� 11 <br /> X .oi2s $ 7i <br /> (contract price) (minimum$35.00) <br /> 2. State Surcharge. ** Add the State Building Code Division aMinimum Fee of($ .50) <br /> _ ___ __--- - ---- . <br /> Z-�� �`�C��! �X .000s $ j0 ,D o <br /> file://C:\Documents%20and%20Settings�rriimi\Desktop\CITY%200F%200RON0%20APPLICA... 7/31/2003 <br />