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Ju1-19-2000 10:32am From-CITY OF ORONO +9522494616 T-125 P.005/005 F-324 <br /> � <br /> WOOD BLTRNING E(aiJYPMENT <br /> Wood stove with flue <br /> Wood combination or add-on <br /> Factory fireplace with flue <br /> Factory F'ireplace (s) Freestanding � Masonry <br /> Wood Stove (s) Franklin, other <br /> Brand Name � Model No. <br /> Mfgr's Min., Cleazances, side , rear , .min, flue dia. <br /> � VE�'I'Ii.A�'ION . � <br /> No.. ._:) Kitchen Exhaust �` ducted �C recirculating ���a cfm <br /> No.. �_ Bath Pxhaust (must be ducted outside) � _ _ cfm <br /> No. Other Fans: Locacions cfm � <br /> FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) <br /> Installation Removal � . <br /> . Fuel oil: gallons underground. ir�id� outside <br /> LP Gas: gallons � <br /> Ocher Gas opening <br /> �ERMIT FEE CALCULATION <br /> 1. 1.25% of Contract Price* or �» imum Fee ($35.00) ,�,J <br /> . ' . �, ) ��v `�' x .0125 $ J � � % <br /> , <br /> (contract price) <br /> - ' 2. State Surcharge. ** Add the Siate Building Code Division � - ��, , : <br /> . Surcharge to each permit. � _� �% x .0005 $ � �- . <br /> or $.50, whichever is greater (contracc price) <br /> 3. Postage and Handlin� (Only mail=in applicauons) $ � .50 <br /> � 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ;, � � 1`'- <br /> '� CONTRACT PRICE or.�OB COST means the actual or escunated dollaz amouat charged for the permitted <br /> work including materials, labor, profit, and other fixed costs. It is.the amount,to be eharged to the <br /> customer for thc work done. . If any material, equipment, labor, or inaiallation are furnished by the owner, <br /> • tenaat or any o�her pazry che reasonable market vaIue of such icems mLst be added to the estiimated cosi <br /> or contract price for permit fee purposes, �n[he event that there is a dis�ute on the amount o�rhe job cost, <br /> the City rriay request th� submissio�t of a signed copy of the ac[ual contract. , <br /> ** The STATE SURCHARGE is .0005 of the contract �rice under $1,000,000 or. $.50 - whichever is <br /> greater. 'For �aluations over $1,000,000 ca11 the�Depar[ment of Inspec[ional Services for[he price. <br /> � The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit, agr�es to do � <br /> all work in strict accorda.nce wich the ordinances of the City and the regulations of the Minnesota <br /> State Building Code, and certifies that all scatements made on this application are complete, true <br /> and correct. . <br /> Ap licant's Signan.ire��� G� � ���-�l� �'� � � � Date: �- ����-'� � � . <br /> � <br /> . , <br /> Approved By: Date: <br />