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<br /> *WOOD BIIRNING EQIIIPMENT $15. 00 each unit #�'�: " ; ; �
<br /> Wood stove with f lue '-�}` � * ��
<br />� Wood combination or add-on unit �.
<br />'``� Factory fireplace with flue " '�`�
<br /> Factor Fireplace (s) freestanding built-in �
<br /> Wood Stove (s ) franklin, other
<br /> BrandName Model No. `�
<br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. ��
<br /> Total �
<br /> ******************************************************************************** .
<br /> VENTILATION $15.00 each project
<br /> �+ `�'''"9'w'" �t',� a�'> ��q`:.
<br />�' No. Kitchen Exhaust ducted recirculating cfm �� �� Y
<br />�� No. Bath Exhaust (must be ducted outside) cfm ° :�
<br />��` No. Other Fans: Locations cfm M
<br /> Tota 1 ��Y'
<br /> = ******************************************************************************** .
<br /> FIIEL STORAGE (must be approved by fire marshal) �
<br /> � ' $30. 00 Permanent/Temporary
<br /> Fuel oil, gallons underground inside outside . .
<br /> k� LP Gas, gallons
<br />��
<br /> Other Gas opening
<br />� ********************************************************************************�
<br />���'" GAS LINE INSPECTION
<br /> High/Low Pressure $15.00 �
<br /> ; ********************************************************************************
<br /> ;; PERMIT FEE CALCQLATION
<br /> �= 1. Total of above Installations or Minimum Fee ($30.00) $ 30 . 00
<br /> 2 . State Surcharge. Add the State Building Code Division �
<br /> Surcharge to each permit $ . 5� _ �
<br /> 3 . Postage and Handling on all mailed-in applications, $ 1. 50
<br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ 32 . 00
<br /> The undersigned hereby applies to the City of issuance of a Mechanical Permit,
<br /> agrees to do all work in strict ac ordance with the ordinances of the City and �
<br /> : the regulations of the Minnesot �tat Building Code, and certifies that all ��
<br /> ' statements made on this applicat� a complete, true and correct.
<br /> �' �- ��
<br /> ' Applicant' s Signature: / Date: �/
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