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<br /> *WppD gIIRNING EQIIIPI�NT $15.00 each unit �
<br /> �` Wood stove with flue �
<br /> � Wood combination or add-on unit N
<br /> Factory fire�lace with flue ;;
<br /> � `3
<br /> � Factor Fireplace (s) freestanding Masonry - _�
<br /> � Wood Stove (s ) franklin, other
<br /> `�� Mode 1 No.
<br /> �� BrandName
<br />�,� Mfgr's Min. , Clearances, side , rear , min. flue dia.
<br /> �, Total
<br />�:; ********************************************�**********************************
<br /> �``_� VENTII.ATION $15.00 each project
<br /> No. Ritchen Exhaust ducted recirculating cfm ��
<br /> � No. Bath Exhaust (must be ducted outside) cfm �;, ` � ro �
<br /> No. Other Fans: I,ocations cfm
<br /> f'' Total
<br />�:w,:
<br />�;��
<br /> ****************************************************************************
<br /> F�U$L STORAGE (must be approved by fire marshal)
<br /> ' $30. 00 Permanent/Temporary . 3
<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�2MIT FEE CALCIILATION
<br /> 1. Total of above Installations or Minimum Fee ($30.00) S
<br /> 2 . State Surcharge. Add the State Building Code Division $ . 50 �
<br />�f Surcharge to each permit
<br /> � �i
<br />�� $ 1. 50 - � �;
<br />�;<;, 3. PostaQe and Handling on all mailed-in agplications, _
<br />��= add lines 1-3 above S
<br />��. 4 . TOTAL PERMIT FEE
<br /> �� The undersigned hereby applies to the City of issuance of a Mechanical Permit
<br />��
<br />�; agrees to do all work in strict accordance with the ordinances of the City an
<br />�� the regulations of the Minnesota State Building Code, and certifies that al
<br />�,.,
<br /> w�- statements made on this app lication are complete, true and correc .
<br />�;:,.,
<br />���', � �
<br />��;, � _.-- Date: �- �-1 �� �'��
<br />�. A�plicant s Signature: �
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