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<br /> *WOOD BURNING _EQOIPMENT $15.00 each unit �` i
<br /> Wood stove with f lue r�i���
<br /> Wood combination or add-on unit ; , �"�
<br />�< Factory fireplace with flue �
<br />��
<br /> :: Factor Fireplace (s) freestanding built-in
<br /> Wood Stove (s ) franklin, other ;
<br /> _
<br /> Brand Name Mode 1 No. _ . ._ .. . . .:__ . . . � �
<br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia.
<br /> Total `'`
<br /> ******************************************************************************* >;�
<br /> VENTILATION $15. 00 each project
<br /> :��
<br />�' ;
<br />�allo. Kitchen Exhaust ducted recirculating cfm '
<br /> � No. Bath Exhaust (must be ducted outside) cfm ��p
<br /> No. Other Fans: Locations cfm ��
<br />�� . Total :
<br /> _� ************,t***************************************,k************************** �,`
<br /> �'�
<br /> ; FOEL_ _STORAG$ (must be approved by fire marshal) __,-----� �
<br /> ` �'>•�%�% $� Permanent emporar � �
<br /> � Fuel oil, �e gallons underground inside outside �
<br /> � yl
<br /> , X , LP Gas, gallons �
<br /> Other Gas opening ��
<br /> Y ******************************************************************************* �;�
<br /> � GAS LIN$ INSPECTION �
<br /> �:
<br /> High/Low Pressure $15. 00 �
<br /> ******************************************************************************* ?�
<br /> PERMIT FLE CALCOLATION �
<br /> ; 1. Total of above Installations or Minimum Fee_ (._$30..00)_ $ '�
<br /> ` 2. State Surcharqe. Add the State Building Code Division ' � �����
<br /> " Surcharge to each permit $ , .50 �� '� � � �:
<br /> �` 3 . Postaqe and Handling on all mailed-in applications, $ . 1.50 y , :i����
<br /> ; � �
<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 al 1 work in strict accordance with the ordinances of the City an� "
<br /> the regulations of the Minnesota State Building Code, and certifies that a1 =
<br /> statements made on this application are complete, true and correct. �.
<br />�°: �
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<br /> ' Applicant' s Signature: , i ` � / ��
<br /> Date:_ . 3� / � �`:�
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