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FIREPLACES `�� <br /> ,,::, <br /> Gas factory fireplace � <br /> Wood burning factory fireplace with flue ;;:� <br /> Wood Stove <br /> ,}; <br /> Wood stove with flue .� <br /> Brand Name Model No. <br /> VENTILATION �� <br /> No. Kitchen E�aust ducted recirculating cfm �� <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locations cfm <br /> FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) <br /> Installation Removal �' <br /> Fuel oil: gallons underground inside outside <br /> LP Gas: gallons <br /> Other Gas opening = <br /> ,. <br /> 3� <br /> PERMIT FEE CALCULATION � <br /> 1. 1.25% of Contract Price* or Minimum Fee ($35.00) <br /> Z��C � X .ol2s � 3� .� z ' <br /> (contract price) � <br /> 2. State Surchar�e. ** Add the State Building Code Division � <br /> Surcharge to each permit. �C;Z�'� aL x .0005 $ � � �� � <br /> or $.50, whichever is greater (concracc price) F,�=� <br /> rna� <br /> 3. Postage and Handling (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �-(�f ��� <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted <br /> work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer :�i <br /> for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or :s <br /> any other party the reasonable market value of such items must be added to the estimated cost or contract <br /> price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may `� <br /> request the submission of a signed copy of the actual contract. <br /> ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50 - whichever is greater. <br /> For valuations over $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all � <br /> work in strict accordance with the ordinances of the City and the regulations of the Minnesota <br /> State Building Code, and certifies that all statements made on this application are complete, true <br /> and correct. - <br /> A licant's Si nature: /�. • ����� � - <br /> pp g , � Date. <br /> � <br /> Approved By: Date: <br />