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_ ,�. ' <br /> *WOOD BIIRNING EQIIIPMgNT $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 built-in <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 $15.00 each project <br />� No. Kitchen Exnaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locations cfm <br /> Total <br /> ******************************************************************************** <br /> FU$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 INSPECTION <br /> High/Low Pressure ����v ����,�, $15.Q0 � <br /> *�k�r,k*****�k*+**#:+*rk�erik�kt+rt.r,k*��..�k;.-,�.±c�:ic#i�x�ti�atir�4iir�tc�ir�lryFst�ir,t�r***iciri�s:*��kir**:Fs�*tt�'sytic�F�t�k�Y,t* <br /> PERMIT FEE CALCQLATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ ,��C:L.�:� <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, $ 1. 50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ , .),�•Z: <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:�/� � ��G�l ,-�C� Date: G/� o2s <br /> �%1;YlG�f� <br /> . . . _ .. . <br /> _ ... . <br /> ,:, . �: ,, _ <br /> _ <br /> �:� <br /> p� � " .,� �.. ��.� <br /> � �f. x,, ,, �. <br /> 3" <br /> a + . <br /> .. .. . .. ....�� . .,' ; .4 <br /> A <br /> •,. , <br /> , . � . _�.. . .. <br /> ��� ` � Y. <br /> .sz.,� '�, - <br /> � �£f,� �. <br /> x*,. �:„ _ <br /> �.. <br /> a" <br /> 4..., � �. .�. . `` ' 9, •' . �'- ��. , . _ .. <br /> , � '��' '�r . <br /> �� ,;:r:.. .�.e.._ � b ..- ':� ?e . . . . _ .. _ _.�_ <br /> �t f <br />