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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 fire�lace with flue <br /> Factor Fireplace (s) freestanding Masonry <br />�ood Stove (s ) franklin, other <br /> Brand Name Mode 1 No. <br /> Kfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <br />�******************************************************************************* <br /> iTENTILATION $15. 00 each project <br /> Vo. Kitchen Exhaust � ducted _� recirculating cfm <br /> Vo. , ; Bath Exhaust (must be ducted outside) cfm <br /> vo. Other Fans: Locations cfm <br /> Total <br />�r******************************************************************************* <br />�IIEL 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 /> k*�t*ir*�t****�c�k�t***ic-9F�******ic****�k*�t***�k*****�F**�Y*****�k*****�k****ic�t***********�k*** <br />.=AS LINE INSPECTION <br /> 3igh/Low Pressure $15 . 00 <br /> k********�t******at**�F*****�k**********ic*ic***�t*�k******�c*****ic*******ir***�c*****�F*�k** <br /> P$RMIT FEE CALCULATION <br /> L. Total of above Installations or Minimum Fee ($30.00) $ <br />? . State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> 3 . Postage and Handling on all mailed-in applications, $ 1. 50 <br />� . TOTAL PERMIT FEE add lines 1-3 above $ _ <br /> Che undersigned hereby applies to the City of issuance of a Mechanical Permit, <br /> igrees to do all work in strict accordance with the ordinances of the City and <br />:he regulations of the Minnesota State Building Code, and certifies that all <br />�tatements made on this application are complete, true and correct. <br /> � ` / � I %,��- Date: '_"- �c:. yn_ <br />��plicant s Sisnatur� ti� E:'� � <br /> ��. ..f����� <br /> G/.=;�•��'�,t �'�-,; <br /> i <br /> I <br />