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�i i r �r vtcvivv tirrLi�ti i ivi� r�x ivi��nt-�ivi�t�L rr,tuvl�� Y�ge 2 c;t�3 � <br /> . <br /> , � <br /> � C ���e„� `�-�U �� e � ��,� � ��� Y'S�►,. <br /> COOLING SYSTEMS L,J�, � YL-[ __ __ __�� ._ . ___.._ __ I <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: ` <br /> � <br /> H.Power <br /> FIItEPLACES <br /> �Gas factory freplace <br /> '�Q�i..�urning factory fireplace with flue <br /> �-�ood 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�ve 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 or 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$ .SO <br /> Mail-In Fee $ 1.50 <br /> �a-Gove cToes not app y, o ow gut-'�e[mes e ow: <br /> 1. Contract Price* is .O125%of job with Minimum Fee o�($35.00) �-.�� <br /> — � .— �._- <br /> •����/(� x .0125 $ 5 � <br /> _-- -----—__ __ -----------_ _ <br /> (contract price) (minimum$35.00) <br /> 2. State Surcharge. ** Add the State Building Code Divis�� aMinimum Fee of($.50) G <br /> _ _ _ ----- _ ------- > � <br /> � F�/��!x.0005 $ J� <br /> file://C:\Documents%20and%20Settings�nimi\Desktop\CITY%200F%200RON0%20APPLICA... 7/31/2003 <br />