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� � <br /> T <br /> ♦ <br /> *WOOD BIIRNING EQIIIPMffi�7T $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 /> 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 /> r:o. K�_tcher_ 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 /> C:AS LINE INSPECTION <br /> High/Low Pressure $15 . 00 <br /> *********************�*************************:�*****x***�*���*�*��************* <br /> PERMIT FEE CALCIILATIUN <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ �C.� <br /> 2 . State Surcharge. Add the State Building Code Division <br /> Surcharge to each Fermit $ .50 <br /> 3. Postage and Handling on all mailed-in applications, S 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 /> ,�r�`� +� a� �i i ��Q�k ;n c+r; �+ ?��ord=_n.ce w�t�± th� 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 comglete, true and correct. <br /> AFplicant' s Signature: ,[,/)Q ���'�{�Y1 Date: �'��/"� � <br />