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<br /> t . *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 fi;'
<br /> �.�; Wood Stove (s ) franklin, other
<br />��: Brand Name Mode 1 No. -
<br /> �` Mfgr' s Min. , Clearances, side , rear , min. flue dia.
<br />�� Total
<br />�, ************************************************************,r******************
<br />��= VENTILATION $15.00 each project
<br />�rr:
<br />��;
<br />��5 No. Ritchen Exhaust ducted recirculating cfm
<br />��°� No. Bath Exhaust (must be ducted outside) cfm
<br />��`` No. Other Fans: Locations cfm
<br /> Total
<br /> �,e *******************************************************************************
<br />���' FUEL 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 $15. 00
<br /> �xxxR*x**�*x***�*******�t*�t*�**�t**t,t*�r*****�t**************,t*******************
<br />�r'� P$RMIT FEE CALCULATION
<br />� 1. Total of above Installations or Minimum Fee ($30.00) $ 3 c�� c��� :+;
<br /> � 2. State Surcharge. Add the State Building Code Division �
<br />��' Surcharge to each permit $ . 50 �
<br /> � ��
<br /> � 3. Postaqe and Handling on all mailed-in applications, S 1. 50 �
<br /> �� 4. TOTAL PERMIT FEE add lines 1-3 above $
<br /> �.
<br /> �
<br /> The undersigned hereby applies to the City of issuance of a Mechanical Permit
<br />�' ' c accordance with the ordinances of the City anc
<br />�;: agrees to do all work in stri t
<br />`•` the regulations of the Minnesota State Building Code, and certifies that a1 =
<br />�.:�;
<br />,.�
<br /> statements made on tnis app�ication are camplete, true and c�rrect.
<br /> �, �
<br /> � � � Date: �.��( - `�y '��
<br />�� Applicant' s Signature: ` �' ;�
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