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<br /> *WOOD BORNING EQIIIPMENT $15. 00 each unit
<br /> Wood stove with flue
<br /> Wood combination or add-on unit
<br /> �Factory fireFlace with flue :�x�,�,�
<br /> Factor Fireplace (s ) freestanding Masonry
<br /> Wood Stove ( s ) franklin, other
<br /> � Mode 1 No. ric.t-"Z1(`;2.-4
<br /> BrandName � � � ;� i; Y
<br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia.
<br /> Total
<br />********************************************************************************
<br /> VENTILATION $15 . 00 each project
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<br /> No. Kitchen Exhaust ducted recirculating cfm ;
<br /> No. Bath Exhaust (must be ducted outside) cfm �
<br /> No. Other r�ans: 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 />********************************************************************************
<br /> PSRMIT FEE CALCIILATIQN
<br /> 1. Total of above Installations or Mini.mum Fee ($30.00 ) $ =>0 � � 4
<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 $ ;.a. ��
<br /> rhe 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 /> s�.at�m�nts .:�ade o.^. this applicatinn are complete, true and correct.
<br />�pplicant' s Signature: �" �..-c�-2 ���,�-� Date: 1 Z-��= `,i�
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