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s <br /> , � <br /> < <br />*WOOD BIIRNING EQIIIPMENT $15. 00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> _�Factory fireplace with flue <br /> Factor Fireplace (s) freestanding Masonry <br /> Wood Stove (s ) franklin, other /- �� -��>r� �/,,,w�-� ���, � ' ��i-s��r <br /> BrandName ���y ''!� �� Model No. I�ti������� �,�< « <-3��� <br /> Mfgr' s Min. , Clearances, side �L ► rear '� , min. flue ia. /%"��-'' <br /> �z; <br /> Total fU:, /'x��r �£'l' ��z��� <br />******************************************************************************** <br /> VENTILATION $15.00 each project <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locations cfm <br /> Total <br />******************************************************************************** <br /> FUEL 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 CALCQLATION <br /> l. Total of above Installations or Minimum Fee ($30.00) $ <br /> 2. 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 /> 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 Building Code, and certifies that all <br /> statements made on this application are complete, true and correct. <br /> , ��..� � � <br /> Applicant s Signature: Z Date: �S� � <br /> ��" <br /> / <br />