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*WOOD BORNING 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 /> ��andName Model No. <br /> Mfgr's Min. , Clearances, side , rear . , min. flue dia. <br /> Total <br /> ******************************************************************************** <br /> VENTII,ATION $15.00 each project <br /> No. Ritchen Exhaust ducted recirculating cfm <br /> No. Bath Ex�aust (m�sst he �ucted outside) cfm <br /> No. Other Fans: Locations cfm <br /> Total <br /> ******************************************************************************** <br /> FUEL 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 $15 .00 <br /> ********************** ****** ************************************************** <br /> P$RMIT FEE CALCIILATION <br /> '•_. Total of above Installations or Minimum Fee ($30.00) $ 3� oa <br /> . State Surcharge. Add the State Building Code Division <br /> Surcharge to each germit $ .50 <br /> . Postaqe and Handling on aIl mailed-in agplications, S 1.50 <br /> t. TOTAL PERMIT FEE add lines 1-3 above S 3�-D 0 <br /> '"he undersigned hereby applies to the City of issuance of a Mechanical Permit, <br /> :.grees to do all work in strict accordance with the ordinances of the City and <br /> :he regulations of the Minnesota State Building Code, and certifies that all <br /> statzments made on this application are co�Flete, true and c�rr�ct. <br /> Agplicant' s Signature: �(�%�J � n�Z��'J Date: ������' . . <br /> .,.. <br /> .,�.._ _ _ ... _. .._ ... , <br /> '.a'x Y k�T: :T . . ' _ . . . . . , . . . � _ ., _ � <br /> ",t . . . . . . . . ..W-P �'H . . . .. . . . , . .. . .'k;>':.i"j?iY 7S` . . <br /> � . . . �. . � . . � . � . , . . . �j,T,�4�.• - .^1,•',:.!'��'l�� � �f <br /> . . .. . . , ��.. .y ��.. . <br /> . <br /> r.. .�C : <br /> . . . �.�e. .. ,-+..�.�„......+ . . . ,.,..... .,.,_�. _..,e.�._..,�.... . . i.�. <br /> , <br /> �' <br /> <:" <br /> _ <br /> : <br /> ...... _. ......._....... .�.,_. _......... ._ _.� . _. .... .. .... _�... ..,...�...:......_„_.,....�.........��...-�_....�,...._. ��.-.._�..--,—...�....._..._,..........�.__�.._.. - . . <br /> - � � • ' .:'...-'-.'f.y . . <br /> ' . . � . .. ' . � . . ) <br />