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l:l 1 T Vt' V1tV1V V HYYL1l,H 11V1V t'VK 1Vlbl;tiL'�1V1l,HL YtSKMl 1 Page 2 0*'3 - <br /> COOLING SYSTEMS <br /> � <br /> Quantity: <br /> Make: <br /> Model: <br /> Tons: <br /> H.Power <br /> FIREPLACES <br /> Gas factory fireplace <br /> Wood burning factory fireplace with flue <br /> Wood Stove <br /> Wood stove with flue <br /> Brand Name Model No. <br /> VENTILATION <br /> No. Kitchen E�chaust duct recalculating cfm <br /> No. Bath Exhaust(must have 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 /> l) Does not require modification to electrical or gas service. <br /> 2) Has a fotal cost of�$500.00 or less;excluding the cost of tne 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$ .50 <br /> Mail-In Fee $ 1.50 <br /> �a�ove oes not app��o�Iow gui�e ines e ow: <br /> 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) <br /> _ --._.— -- <br /> --- —- , � �r <br /> _ _ 1 C'�-� % X .oizs $ � <br /> (contrac[price) (minimum�35.00) <br /> ** e Division aMinimum Fee of($ .50) �. <br /> 2. State Surcharge. Add the State Building Co <br /> �-� ------ - ---- --- <br /> _ _ __--. <br /> --�, ' �`; " <br /> j 2, C��7 L . <br /> --�--=---X .000s $ _- ' ----. <br /> file://C:\Documents%20and%20Settings\mimi\Desktop\CITY%200F%200RON0%20APPLICA... 7/31/2003 <br />