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*WOOD BURNING EQIIIPMENT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireFlace with flue <br /> Factor Fireplace (s) freestanding Masonry <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 /> ******************************************************************************** <br /> VENTILATION $15.00 each project <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> No. ''2� Bath Exhaust (must be ducted outside) cfm <br /> No. �_ Other Fans: Locations ��'`L��;�L cfm <br /> Total <br /> ******************************************************************************** <br /> FOEL 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 /> *******�**�***��**�************************************************************* <br /> PERMIT FEE CALCDLATION <br /> l. Total of above Installations or Mini.mum Fee ($30.00) $ ,� <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 $ (',�� ;��� ¢- (�yC'� .SO <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 /> S�dE:�IllE:11�5 ir�ade OIl tt11� appli�:a�ic7ii Zic ��Ii'�pl���� tr'l2� and c�rrect. <br /> Ci� <br /> Applicant' s Signature: ' Date: �" �C� � <br /> ��-- - <br /> � � <br /> �� � �� <br /> ,___---- <br /> I �Z2 � �� <br />