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<br /> *WOOD BIIRNING E IIIPI�NT $15.00 each unit � �
<br /> Wood stove with flue
<br /> Wood combination or add-on unit `
<br /> Factory fire�lace with flue
<br /> Factor Fireplace (s) freestanding Masonry - $
<br /> Wood Stove (s ) franklin, other ��
<br /> BrandName Model No.
<br /> 5 p,
<br />` Mfgr' s Min. , Clearances, side , rear , min. flue dia.
<br />��. Total
<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 /> ******************************************************************************�
<br />�.:
<br />,� FIIEL STORAGE (must be approved by fire marshal)
<br /> �; $30 . 00 Permanent/Temporary
<br />�� Fuel oil, gallons underground inside outside
<br />:� I,P Gas, gallons
<br /> Other Gas opening
<br /> *�r****************************************************************************�
<br />�� GAS LINE INSPECTION
<br /> :� High/Low Pressure $Z5. 00
<br />�'�'' ******************************************************************************�
<br /> P$RMIT FEE CALCULATION
<br />� ` 1. Total of above Installations or Minimum Fee ($30.00) $ 7`
<br />� 2 . State Surcharge. Add the State Building Code Division
<br />�: Surcharge to each permit $ . 50
<br /> � 3 . Postaqe and Handling on all mailed-in applications, $ 1. 50
<br /> �='i
<br /> 4. TOTAL PERMIT FEE add lines 1-3 above $
<br /> �
<br /> ��` The undersigned hereby applies to the City of issuance of a Mechanical Permit
<br /> w;;,,
<br /> , agrees to do all work in strict accordance with the ordinances of the City ar
<br /> ��` the re ulations of the Minnesota State Building Code, and certifies that al
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<br /> statements made on this app lication are complete, true and correct.
<br /> a ,� �� y� �;�, �, �>
<br /> �` Applicant' s Signature: '�-�� } � � Date: ` ��/�
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