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� <br /> , <br /> . <br /> *WOOD BIIRNING EQIIIPMENT $Z5. 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 built-in <br /> Wood Stove (s ) franklin, other <br /> BrandName Model No. <br /> Mfgr's Min. , Clearances, side , rear , min. flue dia. =�- <br /> Total �S(Ln(J <br />******************************************************************************** <br /> VENTILATION $15.00 each project <br /> No. Ritchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locati�r_s ��=� <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 /> PERMIT FEE CALCIILATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ .5'G' • �' v <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 agplications, S 1. 50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ 3� � G �' <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 Building Code, and certifies that all <br /> statements made on this application are complete, true and correct. <br /> ` <br /> App licant' s Signature: ��'�'li�C , � ��'�� �S Date: /-� - ��'�U <br />