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�" <br /> � <br /> " � <br /> *WOOD BURNING EQIIIPMENT $15. 00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireplace with flue <br /> Factor Fireplace (s ) freestanding Masonry <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. Kitchen Exhaust ducted recirculating cfm <br /> No. � Bath Exhaust (must be ducied ou�csi�e) c��m <br /> No. Other Fans: Locations cfm <br /> Total <br /> ******************************************************************************** <br /> FIIEL STORAGE (must be approved by fire marshal) <br />;�";: � $30. 00 Permanent/Temporary <br /> k;:` �'uel 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 /> �t*�kirzycic*�tic�czxir�c�ixx�'t�iicic**xic�*�cir�ticiti:�c�e*�cirati*�xSc�*:t�'.c��t:'k��iic**yc�x::��:':��cjc+*:k**�*ak+*t�s <br /> PERMIT FEE CALCQLATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ <br /> 2 . State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> 3. Postage and Handling on all mailed-in applications, S 1. 50 <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 all work in strict accordance with the ordinances of the City and <br /> the regulations of the Minnesota State Builr.iing Code, and cer�ifie� th�:t all <br /> statements made on this application are complete, true and correct. <br /> Applicant' s Signature: C�(,1 � Date: �o� <br /> -� ���y <br /> �� . . . _ <br /> ; .j� .. . .. . . � �.._ . � ,..�,.• � ��.: . . :. _ ..,. . . .. .. .. � . . . . <br /> , , . . �. 4�};.A.p w�. �..����'t - ' . . - .. . � . . . . . . . . ' . <br />