|
� #sF ae�m V�.a f "� '� "}' , r �Y`:'"' _ . �.. �' . .
<br /> �, . � _ < �- . - . � . .. � �
<br />� +� ; �'�3����r�`�}�, ���'� ��� � • ys
<br /> r - '
<br /> J � ` , �
<br /> �
<br /> i, q:
<br /> :b
<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 /> BrandName Model No. �
<br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. ;
<br /> Total E;�
<br /> ********************************************************************************
<br /> VENTI7�ATION $15.00 each project '�'�
<br /> ,�
<br /> No. Ritchen Exhaust ducted recirculating cfm ��`�
<br /> ;
<br /> No. Bath Exhaust (must be ducted outside) cfm ` �
<br /> No. Other Fans : Locati�r_s cf,+,1
<br /> Total
<br /> *�k**�r�lr�r***�c***,t****�c*,tir***�k******tk*,t****�c�c**ic*�c*,t*atr**ic****�r****yc***�kir�Fic*�t�F*****�t ;:�
<br /> T�IIEL 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 /> iAS LINE INSPECTION �"��
<br /> 3igh/Low Pressure $15. 00 �
<br /> ���*x�***,�f**����*�st�tst**�*******,t*********************************************** '�
<br /> PSRMIT FEE CALCIILATION w�
<br /> 1 . Total of above Installations or Minimum Fee ($30.00) $ ,�Ll� O D �
<br /> ;�
<br /> 2 . State SurcharQe. Add the State Building Code Division �
<br /> Surcharge to each permit $ . 50 - �
<br /> � . PostaQe and Handling on all mailed-in applications, S 1. 50
<br /> 1 . TOTAL PERMIT FEE add lines 1-3 above $ .3�•v�-'
<br /> :'he undersigned hereby applies to the City of issuance of a Mechanical Permit, ,�
<br /> �grees to do all work in strict accordance with the ordinances of the City and �;
<br /> �he regulations of the Minnesota State Building Code, and certifies that all ;;�
<br /> �tatements made on this app lication are complete, true ana correct. `.;
<br /> ;,
<br /> �pplicant' s Signature: Date: � �
<br /> r
<br /> .�:.,
<br /> _ � �
<br /> >�; ,� � � �; *.
<br /> . , °� f�
<br /> � _
<br /> � ` . • ��
<br /> ..
<br /> . .
<br /> . . . .
<br /> , , .
<br /> �:. , � .,.. .
<br /> ,
<br /> Y
<br /> R .'f� ' �L, . J_ �
<br /> yS �"
<br /> ,
<br /> 1 � � �. � � . - �
<br />�.' y. . . . , �!� . �,;�
<br /> ty . . i k� . .:�
<br />� .�. . .. , . . . . ... .. . �
<br />�� � � 5`^ ..��7 � "
<br />� �!: . .. . . �- . . � . . .
<br />�a, � t k ' - . . ' . � _
<br />� . f�� . . � . . , ?
<br /> �T� y�'� t � l. ' t �'$
<br /> i
<br /> n � ." �� . �.� .: " ' 4
<br /> �
<br /> Y��3�_ �":�t:'�4.,.91'�n2�:...a _ ._..-��',.,....d.. _..ri1'.:. � x �.:.�.iw...�...Jt f.:�. . .,. ' ..... �v v..��...,. . . - . . . "� ... ... � ... �'!' ..e,e�- . .._a i .a�
<br />
|