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' . <br /> � , � .. <br /> *WOOD BIIRNING EQIIIPMENT $15. 00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireFlace with flue <br /> Factor Fireplace (s ) freestanding Masonry <br /> Wood Stove (s ) franklin, other <br /> BrandName Model No. <br /> Mfgr' s Min. � Clearances, side , rear , min. flue dia. <br /> Total <br /> ******************************************************************************** <br /> VENTI7�ATION $15.00 each project <br /> *io, Kitchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be duct�d ou�side) � cf� <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 /> ****�rxz*�t*�t***x�**�tx�**���t***�*****x***�t***�***t�*�*f�*************************** <br /> PSRMIT FEE CALCIILATION <br /> 1. 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. Postaqe and Handling on all mailed-in agplications, S 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 /> agree5 i.0 c►o aIl wc�rk in s�r�ct 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 comglete, true and correct. <br /> . , <br /> � � _�;� <br /> Agplicant' s Signature: ''� ' - ����G,"' ' Date: � �� � � <br /> / �/v'i <br />