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� � <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 <br /> Brand Name Mode 1 No. <br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <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 /> 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 CALCULATION <br /> 1 . Total of above Installations or Mini.mum 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 M ' nnesota State Building Code, and certifies that all <br /> statements made on this a lication are c mplete, true and correct. <br /> � %� , ���� <br /> � ,/ /Zr,Lr,� . '�:t'`'C - L v° <br /> A licant' s Si nature: �'� � Date: �� � � <br /> �P g <br /> , <br /> �� 7/O���G' .i <br /> �-� \ <br /> � <br />