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l;l 1 Y Vt' VKV1V V HYYL1l,H 11V1V t'VK 1Vl�l;riHN1l:AL Y�KMi 1 Page 2 of 3 ' <br /> COOLING SYSTEMS . <br /> Quantity: <br /> Make: <br /> ModeL• <br /> Tons: <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 /> -- – <br /> Other Gas open�ng <br /> PERNIIT FEE CALCULATION S <br /> 2002 State Statute Yes This Section Applies <br /> The replacement of a Resi ix ure or app iance 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 of$500.00 or less;excluding the cost of the fixture 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 /> �ve oes not app y, o ow gui e ines e ow: <br /> 1. Contract Price* is .0125°/a of job with a Minimum Fee of($35.00) <br /> x.0125 $ <br /> (contract price) (minimum$35.00) <br /> 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> x .0005 $ <br /> file://C:\Documents%20and%20Settings�rriimi\Desktop\CITY%200F%200RON0%20APPLICA... 7/31/2003 <br />