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�' . . <br /> , i <br /> _ , � <br /> *WOOD BIIRNING EQIIIPMSNT $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 built-in � <br /> Wood Stove (s) franklin, other ! <br /> BrandName Model No. � <br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <br />******************************************************************************* <br /> VENTILATION $15. 00 each project <br /> No. FCitchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be du�ted outsid2i cfm <br /> No. Other Fans: Locations cfm <br /> Total <br />******************************************************************************* <br /> FIIEL STORAGE (must be approved by fire marshal) <br /> ' $30. 00 Permanent/Temporary i <br /> Fuel oil, gallons underground inside outside i <br /> LP Gas, gallons <br /> Other Gas opening <br />****�************************************************************************** <br /> GAS LINE INSPECTION <br /> High/Low Pressure $15 . 00 <br />*****�***�**********�***********************�*******�r�************************* <br /> PERMIT FEE CALCIILATION <br /> 1. Total of above Installations or Mini.mum Fee ($30.00 ) $ (��� i:'��' <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 applications, $ 1.50 � <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ � �-� C%� <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 an� <br /> the requlations of the Minnesota State Building Code, and certifies that al; <br /> statements made on this app lication are complete, true and correct. <br /> � <br /> Applicant' s Signature: ��� Date: � �l� � <br /> i <br /> � <br /> I <br />