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9. . .� . <br />�f � � ,� <br />�� �; ;r' _ <br />��� ��� ° . � ; - <br /> . '��� ► <br /> a <br /> *WOOD BIIRNING EQIIIPI�NT $15.00 each unit ' � °` " <br /> *��,r� �<� <br /> Wood stove with flue � ' �'�� <br /> Wood combination or add-on unit ''` �` ��'� �Y'` �' <br /> Factory fire�lace with flue ;y � � ,�� <br /> Factor Fireplace (s) freestanding Masonry.-= � <br /> Wood Stove (s ) franklin, other � � <br /> Mode 1 No. s <br /> Brand Name ' <br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> ******************************************************************************** <br /> VENTILATION $15.00 each project <br /> No. Kitchen Exhaust ducted r�ec�r�ulating 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 /> . <br /> GAS LINE INSPECTION ' <br /> High/Low Pressure $15. 00 z <br /> ******************************************************************************** <br /> PSRMIT FEE CALCIILATION <br /> 1. Total of above Installations or Mini.mum Fee ($30.00) $ _30�c.��'_ <br /> 2. State Surcharge. Add the State Building Code Division k <br /> Surcharge to each permit $ .50 <br /> 3. Postaqe and Handling on all mailed-in applications, $ 1. 50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ _,.7 <: �- <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 regulat?o�s cf the Minneseta State Builc�ir_g C�de, and certifies that all <br /> statements made on this app lication are complete, true and correct. <br /> ': <br /> � � ` � � Date: � :�-��"1���`�v <br /> Applicant s Signature: <br /> . . <br /> , . .. <br />� . . - - ,. ; > <br /> . <br /> � <br /> �,� <br /> � : - <br /> .. <br /> _ . . ,., <br /> : . , <br /> � � , � <br /> , <br />�; <br /> ,. . t <br />�' _ <br /> , <br />� ;�, <br /> , <br />�_ � ' _ _ ___ _. . ... _ ,... _.__ _. ,. ..,.. .�. .. _ _ � <br /> . ..:;.� , <br /> ., : } <br /> ,�_. <br />