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. <br /> .. r 1 � <br /> *WOOD BIIRNING EQIIIPMSNT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireplace with flue <br /> Factor Fireplace (s) freestanding Masonry <br /> Wood Stove (s ) franklin, other <br /> Brand Name Mode 1 No. <br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> ************************�****�************************************************* <br /> VENTILATION $15. 00 each project <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locations cfm <br /> Total <br /> *******************************************************************************, <br /> FIIEL 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 LINE INSPECTION <br /> High/Low Pressure $15. 00 <br /> **�t�C:t�i:st •r.i:st:k***StsAyF�r*sF***st*�c*�tic�c;c�YyFir��cirstrc�kiriricir�t�r9c�t�c*icir*�t�sticic�k*icir**�F�r�c*****�Fdc****a <br /> PERMIT FEE CALCOLATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ �j0 • �O <br /> 2 . State Surcharge. 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 /> 4 . TOTAL PERMIT FEE add lines 1-3 above $ ��_ � �> <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, true and correct. <br /> � � �� 1 �' <br /> Applicant' s Signature: � � �� ��-_Q. Date: �` �` �3 <br />