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, �. <br /> *WOOD BIIRNING EQIIIPMENT $15. 00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> �Factory fire�lace with flue <br /> Factor Fireplace (s ) freestanding Masonry <br /> Wood Stove (s ) franklin, other <br /> Brand Name ,/y!�/�';y��_ Mode 1 N� - �� <br /> Mfgr' s Min. , Cl rances, side ��", rear y� , min. flue dia. <br /> Total <br /> ******************************************************************************* <br /> VEN'PILATION $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 /> Total <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 $15. 00 <br /> *******************************************************************************- <br /> P$RMIT FEE CALCIILATION <br /> 1. Total of above Installations or Minimum Fee ($30.00 ) $ <br /> 2 . State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> 3 . Postaqe and Handling on all mailed-in applications, S 1. 50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above S <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 ali <br /> statements made on this app lication are complete, true and correct. <br /> 1� � - <br /> A�plicant' s Signature: � � Date: ` '13�1�� <br />