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<br /> *WOOD BIIRNING EQIIIPI�NT $15.00 each unit �� 4 �
<br /> Wood stove with flue �'; f
<br /> Wood combination or add-on unit "� ; � �'.
<br /> Factory fire�lace with f lue ��p° �Y ��
<br /> Factor Fireglace (s ) freestanding Masonry - �
<br /> Wood Stove (s ) franklin, other `'�
<br /> Brand Name Mode 1 No. k
<br /> Mf r's Min. , Clearances, side , rear , min. flue dia. ;�
<br /> g Total �
<br /> ******************************************************************************** �
<br /> VENTILATION ��
<br /> $15.00 each project ,::��
<br /> �
<br /> ��
<br /> No. Ritchen Exhaust ducted recirculating cfm �.�� $* �
<br /> � � r,: �
<br /> No. � Bath Exhaust (must be ducted outside) cfm ��
<br /> No. Other Fans: Location5 _ cfm ;� -w-;
<br /> Total f -=
<br /> ****************************************************************** ************* q�
<br /> FIIEL STORAGE (must be approved by fire marshal ) -r
<br /> ' $30. 00 Permanent/Temporary ,s ��;� .`
<br /> Fuel oil, gallons underground inside outside k�
<br /> LP Gas, gallons "�
<br /> Other Gas opening �
<br /> ******************************************************************************** ��
<br /> GAS LINE INSPECTION �\ ��
<br /> hignJLow Pressure $15. 001 � �
<br /> *****************************************�******** *********�c*************** ��
<br /> P$RMIT FEE CALCIILATION �
<br /> C� c- ��
<br /> 1. Total of above Installations or l�iinimum 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 applications, $ 1. 50 � ' � ,
<br /> 4. TOTAL PERMIT FEE add lines 1-3 above� $ �-! i�-� r�-;y
<br /> ';�
<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 and �
<br /> the regulations of the Minnesota State Building Code, and certifies that all �
<br /> statements made on this application are complete, true and correct. ,�
<br /> �
<br /> Applicant' s Signature: -�- Date:
<br /> � �.---�� �.
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