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*WOOD BIIRNING _E QIPMENT <br /> � $15. 00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> 1�Factory fireplace with flue <br /> Factor Fireplace (s) freestanding built-in <br /> Wood Stove (s) franklin, other <br /> Brand Name /I��s �'-,�_ Mode 1 No. ��,,,✓c � y�„ <br /> Mfgr' s Min. , Clearances, side _'J1"/�_; rear �, min. flue dia. � ' <br /> Total %,s-� <br /> ******************************************************************************** <br /> VENTILATION $15. 00 each project <br /> No. Kitchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans: Locations cfm <br /> Total <br /> ******************************************************************************** <br /> FO$L _STORAGE (must be approved by fire marshal) <br /> $15. 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 CALCOLATION <br /> , l. Total of above Installations or Minimum .Fee (.$30._00) $ <br /> 2. State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ . 50 <br /> 3. Postacie and Handlinq on all mailed-in applications, $ 1. 50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ <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 aIl <br /> statements made on this application are complete, true and correct. <br /> , ,- � <br /> Applicant' s Signature: '- � Date: .�� -- .��`'� <br />