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*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 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 /> VENTILATION $15.00 each project /`y,� �- ��, ) <br /> �T� C� <br /> � <br /> No, � kitcnen Exhaust % �ucted recirculating �c'Z� cfm <br /> No, � Bath Exhaust (must be ducted outside) ���U cfm <br /> No. Other Fans: Locations cfm <br /> Total S� i'.i <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 /> GA LINE INSPECTION � <br /> ,��/Low Pressure $15.00 ����-' <br /> �c,t***��t�k*ir�ticic�*ir**�F**�c***�t*iric�kt�c*�*�c���:F:t:FiFy**�-ic�i:****�cicicir**it******ir*�t�k*�k�r*** <br /> P$RMIT FEE CALCIILATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ � ��� <br /> 2. State Surcharqe. Add the State Building Code Division $ .50 <br /> Surcharge to each permit <br /> 3. Postaqe and Handling on all mailed-in applications, S 1. 50 ^ <br /> 4. TOTAL PERMIT FEE add lines 1-3 above S ;� � . %`1� _ <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 /> i .F.. i....,,o .r�,nG� C.^.�rcnto <br /> statements made on this app iica�ic�n arc �o.���,le��, �y�.� <br /> � <br /> _ C�� ' -� ,� <br /> , �_ 1, � <br /> Applicant' s Signature: / ���'� ' �� Date: � � <br />