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Aua-07-2001 08:45am From-CITY OF ORONO +g522494616 T-564 P 005/005 F-298 <br /> • <br /> , � <br /> FIREP�ACES <br /> Gas factory fireplace <br /> Wood burning factory fireplace with flue <br /> 'VVood Stove <br /> Wood stove with flue <br /> Brand Name Model No. <br /> VENTTL 'TION . � <br /> No. Kitchen Exhaust �ducted 1 recirculating �Cx`x' cfm <br /> No. � Bath E�chaust (must be ducted outside} 3o c� cfm <br /> No.'�, O[her Fa.�s: Locations �'�3�`�Ef'�rt�� (�� cfrn <br /> FU�L STORAGE (MUST BE APPROVED SY F'IRE MARSHAL) <br /> Installation =' Removal <br /> Fuel oil: gallons uaderground inside outside <br /> � LP Gas: gallozis <br /> ,� Other Gas opening <br /> PERMTT FEE CAL�rJI-ATION <br /> 1. 1.25% of Contra�t Price* or Minimum Fe� 35.00 <br /> µ��<s�� x .O I25 $ �S� .� ��— <br /> (con[ract price) <br /> 2. S te Surchar e ** Add the Scate Buildin.g Code Division P �j� <br /> Surcharge to each permit. - '3/L S� x .0005 $ I 5 <br /> or $.50; whichever is greater (con�racc price) � � <br /> .. � � <br /> 3. P�sta�e a��ndling (On1y mail-in apglications) $ <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �• � <br /> * CONTR.ACT pT'.ICE or JOB COST means the aecual or esti.mated dollar amounc c.barged for the permitted <br /> work inclutling materials,labor,profit, and othor fized eosts. It is the amoune to be charged to the customer <br /> for the work done. If any material, equipmeat, labor, or installacion are furnished by the owner, teuant or <br /> aay other party ihe reasonable markec value of such items must be added to the es[iu�ated cost or contract <br /> price,for permit fee purposes. Tn the event that there is a dispute on che amount of rhe job cost,rhe City may <br /> request ihe submission of a signed copy of the actual tontract. , <br /> +"' The STATE SURCHARGE is .0005 af the eoncract price under$1,000,000 or $.50 - whichever is greacer. <br /> For valuatiobs over 51,000,000 call the Deparunent�f Inspectional Services for the price. <br /> The undersi�ned hereby applies to the City for issuance of a Mechanical Permit, agrees to do aIl <br /> work in strict accordance with the ordinances of tlie Ciry and the regulations of the Minnesota <br /> State Building Code, and certifies that all statements made on this application are complete, true <br /> a.ud correct. <br /> Applicant's Signature: � Date; � � C� <br /> Approved By: Date: <br />