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<br /> *WOOD BIIRNING EQIIIPMENT $15.00 each unit �:, b� �� ?� �
<br /> Wood stove with flue '
<br /> Wood combination or add-on unit � y""�
<br /> _ �
<br /> Factory fire�lace with flue '�'
<br /> ;�
<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 /> �:
<br /> VENTILATION $15. 00 each project
<br /> �„,��
<br /> No. Kitchen Exhaust ducted recirculating cfm _= ��� ��' °��
<br /> No. Bath Exhaust (must 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 /> LP Gas, gallons
<br /> Other Gas opening ��
<br /> ******************************************************************************** :��
<br /> GAS LINE INSPECTION
<br /> High/Low Pressure $15. 00
<br /> ********************************************************************************
<br /> PERMIT FEE CALCIILATION
<br /> 1. Total of above Installations or Minimum Fee ($30.00) $ �K� � �
<br /> 2 . State Surcharge. Add the State Building Code Division
<br /> Surcharge to each permit $ . 50
<br /> 3 . Postage and Handling on aIl mailed-in applications, $ 1. 50
<br /> 4 . TOTAL PERMIT FEE add lines 1-3 above $ �3-�� �� _ �
<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 /> statements made on this application are complete, true and correct. ;�
<br /> � Date: � - j� - `1 / �
<br /> AFplicant s Signature: � ��
<br /> �
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