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Heceived: 2/23/99; 10:51; 6124730510 => WorkCenter 250; N3 <br /> CITY OF ORONO � 6124730510 02/23l99 10:58 �11 :03/OS N0:673 <br /> �'04.��$��G �A.�P�N'�' <br /> Wood stove with flue <br /> Woai combination�or add=an <br /> Factory fireplace with flue <br /> . F�Gtory Fireplace (s) Frecstanding Masotuy <br /> �oad Stove (s) Franklin, othcr <br /> Brand Name : Model Na <br /> Mfgr's Min,, Gleararxes, side , rea�'�, min. fit�e dia. <br /> y��'T�ATION <br /> Na. Kitch�n Exltaust c�ireted recirculating �;cfm <br /> ` No. � Bath Ex}faust (mt�t be ducted outside) cfin <br /> � No. Other Fans: I:oeations . ,�. _ ,� � cfim <br /> � STORAGE (MUST BE APPRQVED BY FIRE MARSHAL) <br /> . It�tallatiQn Re�noval <br /> �el oil: gallans undergrrnuid in5ide o�tside <br /> L;.,P Gas: gallons <br /> Other Gas opet�ing <br /> � IT FEE +�AI..�ULATION <br /> � � �1. 1.25 96 of Contract Price* or �pimum Fee (535.OQ1 r i <br /> � /o�`�., a��-�- �c .0123 $ �� �'� ' <br /> , <br /> (contrect prictJ <br /> 2. ,�� Surcharee: ** Add the State Bui�ding Code Division � <br /> , Sutcharge to each permit. /��� ��=v '' x .0005 $ ��' <br /> or $.50, whicheVer is gteater (con� priee) <br /> � . 3. Postage ar�d Hanclli� (Oniy mail-in applications) $ I.SO <br /> : .�4. �'�TAL,PERMIT FE� (Add tincs 1-3 above) S /.��7:-� <br /> �* CONTR�C7'ARICE or JOB COST crtieans ihe actual or es�rated dollar amount charged for the perautted <br /> � . 'wark includ'mg materials* labor. pcofit. �¢id ot�er �ced �asts. It is the amount to be charged to the <br /> t�uatomer 6rx the work done. If any material2 equipment, labor,or installation are furnished by the ownor, <br /> � tenant or any other party the reasonable market valuc of such iteras must.be Added to the estimated cast <br /> or contrect p�ic�for per�nit fee purpos�s. fn rt�eveac that thez+e is a dlspute on the amount of t�►e job cost, <br /> the City may reyuest the submtssion o�'a signed+Gopy of the actual contract. <br /> *« The �TATE SURCHARGE is .UOOS of� contract price under �1,0t)0,000 or $.SO - whichcvtr is <br /> greattr. �o:r�al�tations Over ai,000,U(l0 Ca11 ttte Dtpartment oF inspectional Stryices For the pricx. <br /> The undersigned hereby applies to the City for issvance of a Mechanicai Permit, agrees to do <br /> ati work in s�trict accordance with lhe ordinances of the City and the regulations c�f the Minnesota <br /> State Building Cade, and eertifies that a!1 staternents made on this application are camplete, true <br /> and correct. <br /> � �1u, .�.�.�� �: r3 � �.;- , �; <br /> Applicant s Sigrature: � <br /> Approv�ed By. Date: `J' �— '� � <br /> ��� <br />