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�:� <br />,�, <br /> K::�;, , <br />:��: <br />:;,�' '+s <br /> ;�::. <br /> *WOOD BIIRNING EQIIIPMSNT $15. 00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireplace with flue <br /> Factor Fireplace (s) freestanding Masonry - <br /> Wood Stove (s ) franklin, other - <br />�w' Brand Name Mode l No. <br />,"= Mfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> ******************************************************************************� <br /> VENTILATION $15.00 each project <br />.�.:`;:�'p�: <br /> �' No. Ritchen Exhaust ducted recirculating cfm <br /> �.` No. Bath Exhaust �mus� be ducted outside) cfm <br /> No. Other Fans: Locations cfm <br />`'"� Total <br /> ******************************************************************************* <br />��' FIIEL STORAGE (must be approved by fire marshal ) <br />;�;; ' $30 . 00 Permanent/Temporary <br /> Fuel oil, gallons underground inside outside <br /> k��'� LP Gas, gallons <br /> Other Gas opening <br /> 1 ******************************************************************************* <br />` 'b' GAS LINE INSPECTION <br />::`_; High/Low Pressure $15. 00 <br />``", ************************,t****************************************************** <br />��' PERMIT FEE CALCIILATI ON �,U� <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ <br /> 2 . State Surcharge. Add the State Building Code Division <br />�„4 Surcharge to each permit $ . 50 <br /> � 3. Postaqe and Handling on all mailed-in applications, $ 1. 50 <br /> y'}�� 4. TOTAL PERMIT FEE add lines 1-3 above $ 3 'Z-�'� <br /> 43�� <br /> ��� The undersigned hereby applies to the City of issuance of a Mechanical Permit <br />��-.. <br /> - agrees to do all work in strict accordance with the ordinances of the City an <br /> �.,: <br />� the regulations of the Minnes a State Building Code, and certifies that al <br />�,4�°; statements made on this applic t on are compiete, t�u� ar.a correct. <br /> k}`,s���; <br />$_' <br />��' Applicant' s Signature: � � Date: �l g � �1 L.� <br />,�}^:: <br />�� � ` <br /> � <br /> �'� ;..,: <br />� .. <br />�, , _ _ <br /> .�� - <br />� <br /> , <br />���M, <br /> � - = . . . ,. ,. ., : <br /> s . .,, - � _ _, <br />�x - _ _ <br /> � } ; _ <br /> F '�i�' . " � . . - � . .. ; .' ' . .. . . � .. . . . _ . .. . <br /> x '. .. � . . . . . . . . . � . . <br /> .�":: , . ' ... � . . � .. � . " ' <br /> � ',`�-..- . . . . .... . . . ... ".'. . . <br /> eS: .. :�. . � _.- . . . . � ..-'. . . . � ' � � . . � .. ... � � .'� ..'. <br /> , .; .. . . . ,... . . . ., <br /> +-_ , . . � � . . - ' :/ <br />� �`.� � . � . . . . - . . � � �. . � . � . . <br />� y � . . . .. . . .. � . .. � . <br />��� , ' ' . �� . � . . � � . . . . <br /> ... . ... . � � . . " . . . ' . - : . .. <br /> �4.r... ,. . . .. ..... ,. .. . ... .. � . �� . .. .. . � � � . . . .. � - ' .. . . . . . . . . . . �. . . . . <br />