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<br />�r *WOOD BIIRNING EQIIIPMENT $15. 00 each unit
<br /> Wood stove with flue
<br />- Wood combination or add-on unit ``
<br />�' Factory fireFiace with flue
<br />� Factor Fireplace (s ) freestanding Masonry
<br /> y"�,: Wood Stove (s ) franklin, other _ ., ��
<br />�=. Brand Name Mode 1 No. ___, �
<br /> Mfgr's Min. , Clearances, side , rear , min. flue dia. _l
<br />��-
<br /> Total
<br />� *************************************************************************�*���*
<br />��� VENTILATION $15. 00 each project
<br />�
<br />��' No. Ritchen Exhaust ducted recirculating cfm
<br />�'' No. Bath Exhaust (must be ducted outside) cfm
<br />�;
<br /> No. Other Fans: Locations cfm
<br /> Total
<br />�
<br />�v ************************************************************************�*����*
<br />� � FIIEL STORAGE (must be approved by fire marshal)
<br /> �- ' $30. 00 Permanent/Temporary
<br />�'!'°' Fuel oil, gallons underground inside outside
<br />��;
<br /> - LP Gas, gallons
<br />��� Other Gas opening
<br />�;.
<br />�;�, ************************************************************************����***
<br />���
<br />�5'�' GAS LINE INSPECTION
<br />���
<br />��. High/Low Pressure $15 . 00
<br /> f: *************************************************************************�e��e��t* ;
<br /> PSRMIT FEE CALCULATION
<br /> 1. Total of above Installations or Minimum Fee ($30.00) $ �z', ��� �
<br />�f"' 2 . State Surcharge. Add the State Building Code Division �`
<br />���. ,
<br />,-. Surcharge to each permit $ . 50 ���
<br />��. 3. Postage and Handling on all mailed-in applications, $ 1. 50 „
<br /> r'"` 4 . TOTAL PERMIT FEE add lines 1-3 above $ 3 � G�C+ ��°
<br />�''
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<br />� . The undersigned hereby applies to the City of issuance of a Mechanical Pe�mi+ �
<br />�_' agrees to do all work in strict accordance with the ordinances of the City an .�
<br />�� the regulations of the Minnesota State Building Code, and certifies that �1
<br /> statements made on this app lication are complete, true and correct.
<br /> � � lSz�.Q-�. ��3�7 Date: <�7 -� � �� �
<br /> � Applicant s Signature: �
<br /> �
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