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CITY oF oRONO � b124730510 44/24/98 11:15 � :02/02 N0:3�8 <br /> ��� <br /> �.�.� 1?Vcaod stove wi�flcu <br /> _ wood combination of add-oa <br /> __ F�ccory �rtplace whh..flttr <br /> _ Fac�ory Fire�l�cc (s) F�eesp�ing 1vi�nry <br /> � Wood`�tave (s) � Pranklin, orl�r <br /> Hrat�d Neu�. , Model No: ._ <br /> -�-----.-T�_..��..��. <br /> �gr's.Miw., Cle�rances, sic�e ,�,', . ri�r�_, min. #tue dia. i.i'. <br /> YE�1T7'ILATION <br /> ` No: _ Kiuhen �achau�c , �cted ncit+e�lating cfm <br /> �!l�. �� $ach Y�thaust (tnast bc.du�ted outaide) � - <br /> Nu.. .� Ckber Fans: L�cadon� � � �fm <br /> �.ST.�GF �1UST BE APPROVF;D BY FIRE MAR�H�4I,.) <br /> [nstaliat�on Remo�►at <br /> _ F�l oi1 _ g�flqr�s undergrc►und � ir�idc � oucside <br /> LP Ges; � galhan� <br /> -...... ��' ._ �,______ -�--- Gas opening . <br /> ,��' E� C,l�e�j;jI�AT�ON <br /> 1: 1.25°6 of.�Q�g��,g�* or lV�nimum��'ee;f�� � <br /> 3 D x ,0125 S (D Z S <br /> `�,.._.._. y , <br /> (c�►nc pricej . _ <br /> 2: ,�tate, ���.. *` 10.dc� the �t8[e Building�Cude Dyvision <br /> �erc}��rgr ta eacA perarYic. _ x .0003 ;� � $ � <br /> ur $.54, Which��►er f� Yteattr ficonvacc priae) � -' � -- _'� <br /> �. p'os�ee and�.I��ndli„Q (Only ma�il=in sQplic�tions) � _� <br /> 4. Tq'f�il, PE�tIv�IT F�E (Add lettes 1-3 ebsvr) $ . . �T <br /> * C(1N7RAGT A1tICE��30B COST meeus..ttu acCu�l.iar�tUtuMed d,ollu sa�ouot c4a[�ed foc�Ite p�i[ted <br /> w►ark inc.ludinj nueerial�� labor, profic, and otba�5xed eoaes. t� is the amount w bo ehar�ed oe tbe <br /> cu�to�t�er for.r�e.werfc�r�e. tf�a�qr m�[er�a1.a�iipiefeecR l�bor.or hbcallation gre f+irnyhed by d�e oweeu, <br /> cer�u or afry oil,er psr�Y the r�smnable muka value oi.�ucb iama muu be.added w[6e errci�ai�ed co�cc <br /> �r cors[rant price for perimit!ee purpoa�s. Is�ev�mt r)iu t�u�dis��us an the amauat of�e job oat. <br /> �he Citiy maY cai�'�'submisaion at a si��v3 Gopy of�e actual eoott�e�. <br /> *�� The S"f'AT� SURCH�AROE � .00OS oi 1hs c�ontnci price under 51.000,0�or f.30 - whtedev� is <br /> �tea[u. Fo�velltbtlQns ovet S I,OQd.000 Call;th� Qepanm�m aP laSpextioAal Setvices for.t'be price. <br /> Thc w�dersigned l�rcby eppllcs to .che CiEy �or iswatita of a Mechanicat Permit. agRes to do <br /> aN wc►ric in 6triet acrondance witb the ordinatices af the Ciry and t1x teguladons.of the.Minneaota <br /> Srate�nikling Co�, and csrcifus t�aii stetcine�s made on thls application are complere..uue <br /> �nd coi�ecc. <br /> A���c�iru's 5ignaare: � _ <br /> Da�: <br /> � � <br /> A��a sx; - �. �� <br /> � <br />