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<br /> *WOOD BIIRNING EQIIIPMENT $15.00 each unit �
<br /> Wood stove with flue �
<br /> Wood combination or add-on unit ''�;�
<br /> Factory fireFlace with flue �
<br /> Factor Fireglace (s) freestanding Masonry - �
<br /> Wood Stove (s ) franklin, other j�
<br /> BrandName Model No. ,
<br /> Mfgr's Min. , Clearances, side , rear , min. flue dia.
<br /> Total
<br /> ********************************************************************************
<br /> VENTILATION $15. 00 each project
<br /> No. Ritchen Exhaust ducted recirculating cfm
<br /> _" N�o Bat?�± Exha�.zst (must �aP ducted outside) cfm
<br /> „� No. Other Fans: Locations cfm
<br /> Total
<br /> ********************************************************************************
<br /> FII$L 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 INSPSCTION
<br /> High/Low Pressure $15. 00
<br /> ********************************************************************************
<br />� PERMIT FEE CAI�CULATION
<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 $ �:2, �% �% _
<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 app iicaLion are com�ie�e, true and correct.
<br /> �
<br /> Applicant' s Signature: ��} , .a-� �-�-t�-� Date: �-,�-G% -%/ �
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