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l;ll Y Vt' VKVNV HYYL1l;H11V1V t'VK Mr,l:HA1V1l:AL Y�KMll Page 2 ot 3 <br /> . ;f ,- . <br /> v <br /> COOLING SYSTEMS <br /> Quantity: ' <br /> Make: �' ` <br /> � , �� `�, ..; �� ,r. <br /> ModeL• :,� ,,���.L . �, - <br /> Tons: �--� l��l <br /> H.Power <br /> FIREPLACES <br /> Gas factory fireplace <br /> Wood burning factory fireplace with flue <br /> Wood Stove <br /> Wood stove with flue <br /> Brand Name Model No. __ _ _ <br /> VENTILATION <br /> No. Kitchen Exhaust duct recalculating cfm <br /> No. Bath Exhaust(must have duct outside) _ _cfm <br /> No. Other Fans: Locations cfm <br /> FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) <br /> Installation or Removal <br /> Fuel oil: gallons underground inside outside <br /> LP Gas: gallons <br /> Other Gas opening <br /> PERMIT FEE CALCULATION(S). <br /> 2002 State Statute Yes This Section Applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1) Does not require modification to electrical or gas service. <br /> 2) Has a total cost cf$SQ0.00 or less;excluding the cost of the fix±ur�or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ _ 15.00 _ _ <br /> State Surcharge$ .50 <br /> Mail-In Fee $ 1.50 <br /> I�a6ove does not app y, o ow gut e ines e ow: <br /> 1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) <br /> -- - — _, <br /> t� '' ` ' x.0125 $ �� tI� <br /> (contract price) (minimum$35.00) <br /> 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($.50) <br /> -___ _--- 7 <br /> � " 7 �' " G. �'�l <br /> 1 y '� x .0005 $ ___ <br /> file://C:\Documents%20and%20Settings�rriimi\Desktop\CITY%200F%200RON0%20APPLICA... 7/31/2003 <br />