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<br /> i �: l' i.-�� 'j}„��� �, YY �5`�- l �{ 4�.i �
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<br /> ` � x�y F ��,,
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<br /> *WOOD BIIRNING EQIIIPMENT $15.00 each unit g
<br /> s
<br /> Wood stove with flue ������ f ��
<br /> Wopd combination or add-on unit '��"� �
<br /> Factory fireFlace with flue
<br /> �. �� �: �,.r
<br /> Factor Fireplace (s) freestanding ��_ Masonry �'�`"�
<br /> Wood Stove (s ) franklin, other �
<br /> BrandName Model No. '�;:
<br /> Mfgr' s Min. , Cleararaces, side , rear , min. flue dia. �
<br /> Total "
<br /> *******************************************************************************x ��
<br /> 3 VENTILATION $15.00 each project �
<br /> No. Kitchen Exhaust ducted recirculating cfm �`� �F�� 1
<br /> 1 L_._ .� �,.,....� �..__ a,,��to,a �. t-�; �� cfm ���, �`;� �" .
<br /> 1V0. t�tiL.11 E'1L1iQLii�. \•:•uo.. uC 1___C�`.
<br /> No. Other Fans: Locations cfm A"�
<br /> Total
<br /> ****************************************************************�***************
<br /> FIIEL STORAGE (must be approved by fire marshal)
<br /> ' $30. 00 Permanent/Temporary �,Y,:,s�,,� , ,�
<br /> Fuel oil, gallons underground inside outside ,, ,
<br /> LP Gas, gallons
<br /> Other Gas opening J
<br /> ******************************************************************************** ;
<br /> GAS LINE INSPECTION �
<br /> � High/Low Pressure $15.00 µ�
<br /> ********************************************************************************
<br /> ,-�
<br /> �
<br /> PERMIT FEE CALCIILATION �
<br /> 1. Total of above Installations or Mini.mum Fee ($30.00) $ �30 �=�
<br /> 2. State Surcharge. Add the State Building Code Division nxa
<br /> Surcharge to each permit $ .50 ��
<br /> 3. Postaqe and Handling on all mailed-in applications, $ 1. 50 ��"�
<br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ ,�,,�. p�
<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 cert.ifies that all ��
<br /> , ..�,�• � 4.,,,, z�M���r ?,-A r-nm�1 Pte, true and correct. � �.
<br /> s�azerienLs 1liG��E or. �.�,3.� rr� �
<br /> � �
<br /> Applicant' s Signature: �G�� ���� Date: Y a•� / �
<br /> �
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