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� <br /> � , <br /> ♦ ' , <br /> w <br /> *WOOD 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 Fireglace (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 /> ******************************************************************************�r* <br /> VENTII,ATION $15.00 each project <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: LocaLions c���� <br /> Total <br /> ******************************************************************************** <br /> FUEL 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 /> ********************�r***********************************�*********************** <br /> GAS LINE INSPECTION <br /> High/Low Pressure $15 . 00 <br /> x*iricirrcx�i�xx�zx:%�iRn�i�.'**�:r�eartY;::�c7cickxic�:rr:ir:ric*ic*:t°kie'st^�Irx�*�e���icicskxscie#**Yri��Eic7k�jc*'k�xt.�Jcxie�-�� <br /> PERMIT FEE CALCULATION <br /> l. Total of above Installations or Minimum Fee ($30.00 ) $ _�L% ���� <br /> 2. State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> 3. Postage and Handling on aIl mailed-in applications, S 1. 50 <br /> 4 . TOTAL PERMIT FEE add lines 1-3 above $ �,�-G <� <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 /> 7 <br /> Apr licant' s Signature: � i�, �,��-Gvf7 Date: �� ��/�' <br />