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' f <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 /> Factor Fireplace (s ) freestanding Masonry - <br /> Wood Stove (s ) franklin, other <br /> BrandName Model No. <br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> **************�*************** * �r ******************************************* <br /> VENTILATION , $15. 00 each project <br /> .c. � ��C!����7�—'�,`f .�-�,�s '��e-` � <br /> .�,� A y'� ..r��-�c- l� '.C/Lo-Lt(�,�t,l ����� r"�i` ���5'Zc'�..Q,.� <br /> rG-'�_,f% �'�^ C� �. <br /> No. Ki�hen x�iaust ducte� recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> Nc�, Other Fans: Locations cfm <br /> T�ta� <br /> ******************************************************************************** <br /> FUEL 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 /> ******************************************************************************** <br /> GAS I,INE INSPECTION <br /> High/Low Pressure $Z5. 00 <br /> ******************************************************************************** <br /> P$RMIT FEE CALCIILATION <br /> 1. Total of above Installations or Minimum Fee ($30.00 ) $ �'�.!�� <br /> 2 . State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> 3 . Postaqe and Handling on all mailed-in applications, $ 1. 50 <br /> 4 . TOTAL PERMIT FEE add lines 1-3 above $ 3'•`�� _ <br /> The undersigned hereby applies to the City of issuance of a Mechanical Permit, <br /> agrees 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 /> statements made on this application are complete, t�ue and correct. <br /> �, <br /> Applicant' s Signature: ,�� - c- <br /> Date: Z l� �� <br /> � ; <br /> � <br />