|
. ,� :�i� .' �'�:'$,��..,'!9(�:
<br /> _
<br /> „ :
<br /> �_. � . . �� z _ . .s z
<br /> _
<br /> .. . ,'
<br /> -. -. .�-. �-��a- _:...a , . ., . � �
<br /> , . . , .�'�, _ � _ �w�=*.�,•'''t_
<br /> *WOOD BIIRNING EQIIIPMENT $15.00 each unit
<br /> Wood stove with flue
<br /> Wood combination or add-on unit
<br /> Factory fire�lace with flue
<br /> Factor Fireplace (s ) freestanding Masonry
<br /> Wood Stove (s ) franklin, other
<br /> BrandName Model No.
<br /> Mfgr' s Min. , ClearanQes, 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 ducted outside) cfm
<br /> No. Other Fans: 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 $15.00
<br /> ********************************************************************************
<br /> P$RMIT FEE CAI.CQLATION
<br /> l. 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. Postaqe 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 Building Code, and certifies that all
<br /> statements made on this application are complete, true and correct.
<br /> � � �> � � ..
<br /> �� Applicant' s Signature: ����.�1� �� Date:�Z�y/
<br /> /
<br /> ✓
<br /> N� :E" ��A3'" :t�":�4s� �"y�xTrt+t tr�1?£�'"� . .y
<br /> t��'��`�. '���� a .�,�,� '���.
<br /> L 4^ afi � , v��, ,Z�+
<br /> � ."� ����s��.. � w�
<br /> �. �, �t�r ���: ��"��'Ei � �`
<br /> � �'�aa �. s�g�v ,.�� � �sr.�'`' �
<br /> „�,' ���i +� �#�t`�� " �
<br /> ���� �� s' x��zh[.. >,�� a
<br /> �' ,� i .�S..Az''``�,a a �
<br /> � k�^v k.,�„ 9 t„�' �,�' a+ y�i�� �
<br /> ., l �*.� ,P� '�k � -
<br /> < < � �- -�. �� ��.
<br /> � , . s. �� 5�
<br /> „ z «
<br /> �"^
<br /> _ , W � . �� �r��-��! �-�'s� •., t�,,�,���
<br /> �� �`�� �"' q :
<br /> ,� ��� � � . � � ,�
<br /> ��-.� .� :� � �G��� � .��,��:_ t�°�,�: �"
<br /> - � rwa � � � �� �,.� � � �.
<br /> � ��$ � �� � , Y�yy'� ;>.
<br /> Y .a . �y��•�.i C��--.`F_ C� -
<br /> ...
<br /> ,� .. 't'l�,y. �s` , �,� ` �.
<br /> . x
<br /> , . _
<br /> . � d
<br /> m i
<br /> , �d _
<br /> � x. � ��� � dFN'4 . R r
<br /> y _ ,».e. �..�. . � .. .. . . ��..� '� .`aa'�., �� _. . . ..
<br /> ,. �
<br /> � :
<br /> , �
<br /> `�Y c- ��n� P
<br /> ' .»m
<br /> . . . �.,....�. �.:. - ..�. .�.. . .. ..g..�... . .. . e�'..`. '-.:.!
<br /> �
<br />
|