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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 fireplace with flue <br /> Factor Fireplace (s ) freestanding built-in <br /> Wood Stove (s ) franklin, other <br /> BrandName Model No. <br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> *******************************************************************************� <br /> VENTII.ATION $15.00 each project <br /> No. Ritchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locations cfm <br /> •i�otal <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 /> GAS LINE INSPECTION <br /> High/Low Pressure $15. 00 <br /> �******************************************************************************, <br /> PERMIT FEE CALCULATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ 3� �'�� <br /> 2. State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ .50 <br /> 3:�6' PostaQe and Handling on all mailed-in applications, $ 1.50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ :s :�.� c- <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 anc <br /> the regulations of the Minnesota State Building Code, and certifies that a17 <br /> statements made on this app lication are comglete, true and correct. <br /> Applicant' s Signature: � , ��- �. Date: �� -�� y� <br /> � ��� � <br /> _:.�:.� t�.,-.� _��_ _ _ �_::�.:��..,�_._. ,. ...� ._ ;T�,.-.�- �_- :_ . �,,�. __ _ , _ _ :_�_.. <br />