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�^�x`.�-�'"y,•,��Rrr.e-=r , , � � �`•- `a' . . . . . .� . . , . .. <br /> . _ <br /> , , _ . . ... . . � . . .. .. .. . . <br />� . . . . .. . .. . .. .. . . .. . . .. . <br /> Fy� , <br /> L".` <br /> k�- � <br /> i''": <br /> r �a <br /> *WOOD BIIRNING EQIIIPMSNT $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 /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> ***********************************************************************�******** <br /> VENTILATION $15. 00 each project <br /> No. Ritchen Exhaust ducted recirculating cfm <br /> No. _L Bath Exhaust (must be ducted outside) 5o 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 /> GAS LINE INSPECTION <br /> High/Low Pressure $15 . 00 <br /> ***********************************************�******************************** <br /> PSRMIT FEE CALCQLATION <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. Postaqe and Handling on all mailed-in applications, S 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 all <br /> statements made on this application are complete, t�ue and correct. <br /> � <br /> Applicant' s Signature: Date: 8 <br />� , . <br /> �� <br /> �� _ <br /> �- <br /> 3� ° � � <br /> �� <br /> ��� v <br />�� <br /> , , <br />� .. . �, � � ._ _.__ . _y_ _ ,.�.�.___. <br /> � . <br /> . . :,,_ : . �. . .. � _ : ,�..�_. _ . . � <br />