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k <br /> i <br />*WOOD BORNING EQIIIPMENT $15. 00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireFlace with flue <br /> Factor Fireplace (s) freestanding Masonry <br /> Wood Stove (s ) franklin, other <br /> BrandName Model No. <br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <br />******************************************************************************** <br /> VENTILATION �r,,�.,z�yy�r �ivC�li��6t�f�- $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 $Z5. 00 <br />***********************************************�******************************** <br /> P$RMIT FEE CALCOLATION <br /> 1. Total of above Installations or Mi.nimum 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 $ _ <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 Buil ' ng Code, and certifies that all <br /> statements made on this app 1 ' c�t;ion are com ete, true and correct. <br /> . � �'� � Date: /�I `�S I � <br /> Applicant' s Signature. � <br /> �. <br />