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. ' 1 <br /> _ , • i i <br /> ' n <br /> y .. <br />�WOOD BIIRNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue � <br /> Wood combination or add-on unit ` <br /> Factory fire�lace with flue <br />�'actor Fireplace (s ) freestanding Masonry <br /> aood Stove (s ) franklin, other <br /> 3randName Model No. <br /> Kfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> k*�F****�fr**�k*�k*******�k*�k*�k**�F****ic******�Ir*******�k**�F********�k*******tt*�k***�k�t**�t*�IF <br />�ENTILATION $15. 00 each project <br /> Jo. Ritchen Exhaust ducted recirculating cfm <br /> Jo. Bath Exhaust (must be ducted outside) cfm <br /> /1LL. .� T�.�.. . `�m <br />;�p. v�.iact i a„a• LQ\.4�l.iJ1LS <br /> Total <br />�******************************************************************************* <br />�UEL 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 /> k****�r*air*************�Y***�t�k*ic**�k*********7F*************!r**�lr**********�k*********�k <br /> sAS LINE INSPECTION <<j� <br /> 3igh/Low Pressure $15. 00 <br /> k*******�tic**yt�t****�k********�t***********�c�c�c**�Ir************�Y************�t*�k**�k**ic* <br /> PERMIT FEE CALCIILATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ 30 . 00 <br /> 2. State Surcharae. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> 3 . Postage and Handling on all mailed-in applications, $ 1. 50 <br />�. TOTAL PERMIT FEE add lines 1-3 above $ 32 . 00 <br /> Phe undersigned hereby applies to the City of issuance of a Mechanical Permit, <br />�grees to do all work in strict accordance with the ordinances of the City and � <br /> the regulations of the Minnesota State Building Code, and certifies that-all <br /> atatements made on this app lication are comp lete, true and correct. <br />��plicant' s Signature:�� / � ��� � ���� � ,�« .-�L Date: �/22/9�1 <br /> ,�j���,����---° . <br /> �,� <br />