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CITY OF ORONO � 6122494b16 10l25/99 09:22 � :03/03 N0:468 <br /> . <br /> • YYC�4D BURN,.�Y�%�L�.�� <br /> Wo�d stove with flu� <br /> _. Wovd combination or acfci-on <br /> � �sctcrty fitepl�ce with fluc <br /> � Factc�ry Fircplace (s) _ Fr�estanding Mascmry <br /> Wuc�ci Stnve {s) Hranklin, �therw <br /> aranc� N� 1�c�i rro. '.� �._ <br /> Mfgr's Min., Cte:arances, side `, rear,_�, min. flue di��'µ � —.._ <br /> � __ <br /> Y..�Y�i�T.1QL�I <br /> N�, _ Kitchen Exhaust ducted r�c'trc:ulating � cFrr� <br /> N�. Aath �xhaust (must tx ducted nutsiae) cfm� <br /> Nu. +(�th�r �'an.s: I�ati�ns _,�___�_ _T.. � __ cfm <br /> 8����!$A�� tMUS'f Ti�APPRO'��?D BY FIRE MAR�IIA.L) <br /> .._._.__ �nstallatic�n � Remav�l <br /> _� �'uel c►il;. �_� gatians unc�ergrvund insid� outside <br /> I.F Cias: �__..` Sall��s � �-- . <br /> ___.._...� t?thcr ,....._.. � .._.__.._ Gas opening <br /> ��'..E GAL�LILATIUN <br /> 1. 1.25�`o �f�int�aci Yrice* Ur ���S„�� <br /> ._,_.W x .U12S $ 3�LYU <br /> tcrnurncc �ricc> <br /> — ��--- <br /> 2- ���urch�rge� "'* Add the State Buifding Ccxie Uivisi�n <br /> Surcharbe to each �erinit. _._ x .tXIOS $ ,5 U <br /> c>r $.SU, whichever ia �reater (eoncracc pr�c�c� <br /> 3. Pn�t�g�.�t���lin� (Only ma�l-in �ppIications} $ ..�_____...�.�.�Q..._._...� <br /> 4. '['()TAL PERM�T FE£: (Adcl lincs 1-3 �bave) $ <br /> • CQN'J'itACT PRIGE?ar IO8 CUS'C meuns�he actW�l or estimarrd ciullw ;unaun� charged fax thrr•permicced <br /> work i�icluding matariels, lt�mx, profii, �d athez t�xed casts. !t is thc um�unt ta k�C charged to R�C <br /> cu.ci�ymcr for�he w�rk dane. lY u�iY rnar�rial,eyuipment, tabor, or inatallntion arc 1'utnished hy the owner, <br /> tenant dr any nthr,r pnrty the reasannble market value of auch itesns musc he added to dia Cstimated cost <br /> dr r�mtr�ct pric� fur perinit fcc purposes. in tt�event that th�re i�a disputc�n thc amuunc of die job coy�, <br /> che Citx rn�y rcc�uest thc submiasia�of a signtd i:apy uf the actuul con�ra;t, <br /> "* 'Tlie SfiATF SURCHARGE is .(1WS of ttu c�ntr�t grice under $l,fx?(),l�U c�r $.SU - wbiCliever in <br /> greatcr. For valuatlons over SI.At�.t1QQ ca1I the Dep$rtmant c�f tz►sprctianal Srrvices for tha price. <br /> The un�ic:rsigned h4reby appli�s u� th� City fc�r issuanee uf a Mechanical Permit, �grees to du <br /> ail work in stricr accorckuu�� with [he o ir�tues of tl� �iry anci the r�gulatioru+ of the Minnesota <br /> 5c�trr�uildin� Cocie� nnd certifies 1 statemen�s n�sde c�n ihis applitation are cc�mplete, true <br /> at�d ccarrc�t. <br /> Applicunt's Signaturc: Date: /����/� <br /> �_______ <br /> ApAravec� I3y: ..� T,.. Date: <br />