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*WOOD ,BURNING _EQUIPMENT $15. 00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireplace with flue <br /> Factor Fireplace (s ) f'reestanding built-in <br /> Wood Stove (s) franklin, other <br /> _. . <br /> Brand Name Mode 1 No. <br /> _ . <br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> ******************************************************************************** <br /> VENTILATION $15. 00 each project <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> P7o. Bath Exhaust (n�ast be ducted o�atside) cfm <br /> No. Other Fans: Locations cfm <br /> Total <br /> ******************************************************************************** <br /> FUEL_ .STORAGE (must be approved by fire marshal) <br /> $15. 00 Permanent/Temporary <br /> Fuel oil, gallons underground inside outside <br /> LP Gas, gallons <br /> Other Gas opening <br /> *********************�r*,�******************************************************** <br /> GAS LINE INSPECTION r �"��`�,f" " �m <br /> High/Low Pressure C�c,C,l.% ��-,�����, (J`r, - �! $15. 00 <br /> *********************�r,�****************�*#************************************ <br /> PEP.MTT FEA CAI.COT�.A�70N <br /> 1 . Total of above Installations or Minimum. _Fee. (_$30._00) $ <br /> 2. State Surcharqe. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> 3 . Postaqe and Handlinq on all mailed-in applications, $ 1.,50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ _�tZ L2� <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 /> Applicant' s Signature: ` j�,� ,,��, � C� Date: .� ..� �, <br /> �z�l�: <br />