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CITY OF ORONO � 612473051a 11/12/97 09:35 � :03/OS N0:723 <br /> . <br /> Gi�s <br /> ��#�NiNG F.QU)�'ME,�,T <br /> _ _ w�od tic�,vC w�cn nu� <br /> Wooct cc.�mbinatian �r add-on � <br /> � Pacrory fireplace with t7ue �^`5�'�� <br /> Facto�y Fircplacc (s} Freestanaing _� Masoriry <br /> , Wc�od Stove (s} Franklin, uther <br /> Brand Name ��;'/�j .��,J�=�r�c_ Model No. f���3� �.: _ <br /> Mf'gr's Min., Cl�aranc;es sidc �,9� �� �� � <br /> , , rrar � 4 . min. ue dia. <br /> � %(v'Srt:PT� i��TL` �Ei.�,/9[--fCl� <br /> VENT��j <br /> N�. T�� Kitchen Exhaust _ ducted recirculating _ cfm <br /> Nu. Aath Exhaust (muxi be ducted ouiside) cfm � <br /> No. �____ Other Fans: l,ocatiotu _ � �t� <br /> �I. STURAGE (MUST' fi� APPROVLD BY FIRE MARSHAI.) <br /> lnstallation Remaval <br /> � , f�el oil� _� galluns � uncierground insidc outside <br /> _ � LP Gas; �_ gaUans <br /> ----, Uther _ _____._._.._..__.�._��_ _.--- Gas op�ning <br /> P��Z�C9.�.�AT.L41Y <br /> 2. I.ZS�'� of�ontt'act ��* or Mlnimwn Fee �,�3i,00� <br /> �� — x .0125 $ .��5�`' c' <br /> _� �-�, . <br /> (contract prire) <br /> 2. St�,4e �ur�l�ar��. "'* Add the S�a[e Building Ccxi� nivision <br /> Surchxrge ro each pennit. _ ��'c: �� x .()OOS $ � �--� <br /> c�r $.SU, whict�ever is greater �c��ncract price) � <br /> 3. �'ostaee��nd �Ian� (Ortly mail•in applicatiaris) $ _ l,,�d <br /> 4. TC)TAL PF:RMIT t�E� (Ada lincs 1-3 abov�) $ � •' .L� <br /> • CONTRAC'7' PRIC�or JQH CQST meanb the actual o�cvtimated doUar umount charged f'or thc pr.rntittcd <br /> wosk includiriQ muteri5ls. Iabor, profit, and athor fi�ec! costs. It ia the amuunl tv Ue charged ro the <br /> custo►ner for fhe wark dot�e. if any trwterinl, equipment, labor, ar icutaliation are furnished by the awncr, <br /> tenant or arty other parry tho rr.�svnablr. murlcet v�lue of euch items muyt be added to the eatimated caet <br /> or contrut pricc for�xmut fcc pur�x�sea. ln thti cvent that thti�e is a disputc on Uu umount of thc job co6t, <br /> the City may requesc the subniissi�n ai� aigned eopy of the xctual c:ontract. <br /> •' 'Thc STAT� StIRC�-IARGF is .Ot?OS of the contract pric� unda 51,Op0.0(?Q or S.SO - whichevo� is <br /> gtCater. F�or vatuAtions uveT Sl,(�,qOU call thc llcputrnent of Insprciiunal Services 1'ut the pri�e. <br /> 'fhe unciersigned heCchy a�plies to the City for ixsua��ce of a Mec:hanical Permit, agrces to do <br /> all work in rtrict aceordaru;� with the c�cdinarx�es of the Ciry anci the regulations of the Minnesota <br /> Staie Huilding C�odr, and c�ttifie� d�at alI statements made on this application are cumpiete, true <br /> F1T1c� (:OtICI:�. <br /> � � <br /> � <br /> Applicant's Signacur�: �/ _ i Date: ��1,z7 � <br /> ... .� .f,�,� <br /> AFproved By: � __— _—._......_____ T_____... Date: _ <br />