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<br /> *WOOD BIIRNING EQIIIPMENT $15. 00 each unit "�
<br />, �� Wood stove with flue
<br />� Wood combination or add-on unit �
<br /> R�; Factory fireplace with flue ��;:
<br /> `� Factor Fireplace (s) freestanding Masonry �
<br />�,` Wood Stove (s ) franklin, other * �
<br />�"� Brand Name Mode 1 No. ���
<br /> ��
<br />� �� r �=
<br />{ . Mfgr's Min. , Clearances, side , rear , min. flue dia. �,
<br />�� Tota1 �`�
<br />��' ******************************************************************************** �
<br />�l VENTILATION $15.00 each project ;�
<br /> ,�;.
<br />... +�
<br /> �; No. Kitchen Exhaust ducted recirculating cfm ; �:,
<br /> �`; No. Bath Exhaust (must be ducted outside) cfm s`����f�'�
<br /> No. Other Fans: Locations cfm ��';
<br />�k`' �yt
<br />�r; Total
<br />�:
<br /> ********************************************************************************
<br /> FIIEL STORAGE (must be approved by fire marshal) �
<br /> ' $30 . 00 Permanent/Temporary �t'
<br /> - Fuel oil, gallons underground inside outside � rv � '
<br /> �,� LP Gas, gallons ;:
<br /> �� Other Gas opening "•'
<br /> ******************************************************************************** �;
<br /> �; GAS LINE INSPECTION �;
<br /> High/Low Pressure $15 . 00
<br /> ft+tt:�***±********************************************************************** ��.,
<br />�` PERMIT FEE CALCIILATION
<br /> ;
<br />�� 1. Total of above Installations or Minimum Fee ($30.00) $ GO. C�1 �
<br /> � �t:4
<br /> ; 2. State Surcharge. Add the State Building Code Division ���'� #''
<br /> �_' Surcharge to each permit S • 50 �- '� � n
<br /> �:,;; 3. Postaqe and Handling on all mailed-in applications, $ 1. 50 �a��� �� ��:� <ry
<br />��`° 4. TOTAL PERMIT FEE add lines 1-3 above $ ��;?.f�l�
<br />�
<br />�'�'' The undersi ned hereb a Iies to the Cit of issuance of a Mechanical Permit, '
<br />�;, 9 Y P P Y �
<br /> ��; a rees to do all work in strict accordance with the ordinances of the City and �;
<br />��� �
<br />�� �
<br /> the regulations of the Minnesota State Building Code, and certifies that all
<br /> statements made on this application are complete, true and correct. ��
<br /> ��
<br />� � ' � � Date: !- 7=Gi/
<br /> �- Applicant s Signature: =/ �r1�� � '���r--+����L���
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