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<br /> *WOOD BIIRNING EQIIIPMENT
<br /> $15.00 each unit
<br /> - Wood stove with flue
<br /> Wood combination or add-on unit
<br /> Factory fireFlace with flue
<br /> F;�:�
<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 />� :
<br /> Total
<br />�;_,. ******************************************************************************�
<br />�'`�` $15. 00 each project
<br />�_; VENTILATION
<br />;1�.
<br />��� No. Kitchen Exhaust ducted recirculating cfm
<br />�°� cfm
<br />�->�:. No. Bath Exhaust (must be ducted outside )
<br />���=, No. Other Fans: Locations cfm
<br />��ew Total
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<br />�r ******************************************************************************�
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<br /> � FIIEL STORAGE (must be approved by fire marshal
<br />�,, $30. 00 Permanent/Temporary
<br /> ' Fuel oil, gallons underground inside outside
<br />��
<br />`�` LP Gas gallons �
<br />�= Other � Gas opening
<br />��
<br /> ******************************************************************************�
<br /> GAS LINE INSPECTION
<br />�j' High/Low Pressure $15. 00
<br />��` ******************************************************************************�
<br /> PERMIT FEE CALCIILATION
<br />'�s
<br /> r.:� 1 . Total of above Installations or Minimum Fee ($30.00) $
<br />�i' 2. State Surcharge. Add the State Building Code Division
<br /> °' Surcharge to each permit $ .50 „
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<br /> 3. Postage and Handling on all mailed-in applications, $ 1.50
<br /> �' 4 . TOTAL PERMIT FEE add lines 1-3 above $
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<br /> The undersigned hereby applies to the City of issuance of a Mechanical Permit
<br />�F„ agrees to do all work in strict accordance with the ordinances of the City ar.
<br />�f} the regulations of the Minnesota State Building Code, and certifies that al
<br />��:��� statements made on this apglication are complete, true and correct.
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<br /> ' A licant' s Si nature: �y�%� ���G� ' Date: `� 3° g�
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