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t <br /> � <br /> *�rTOOD BIIRNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireFlace 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 /> ******************************************************************************** <br /> VENTII.ATION $15. 00 each project <br /> No. Ritchen 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 $15. 00 <br /> icicicicksti*t.�i'icsYic's'.:lrrf'.��:tt.�kt'����k�*..�.•�:ykd•;l•�•*{f•�;�..a.f.�.;t��#t*�F±#**ii*9t*##�r�t7F****#**tlr7t�F*******'k <br /> P$RMIT FEE CALCIILATION L�� <br /> 1. Total of above Installations or Mi.nimum Fee ($30.00) S ��G <br /> 2. State SurcharQe. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> 3 . Postaqe and Handling on all mailed-in applications, S 1. 50 <br /> 4. �l'V l�HL t'tiStlli`l� r'�i GG.cu i�:lc� .�is.`+ nuO v c�',- Y ;] � ��— � <br /> The undersigned hereby applies to the City of issuance of a Mechanical Permit, <br /> agrees to do aIl work in strict accordance with the ordinances of the City and <br /> the regulations of the Minn sota State Building Code, and certifies that all <br /> statements made on this app 1 tior� are complete, true and correct. <br /> ��;�� , �---�� /.� :`� � �. <br /> Applicant' s Signature: � J Date: � <br />