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<br /> *WOOD BIIRNING E�UIPMENT $15. 00 each unit
<br /> Wood stove with flue
<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 /> . Brand Name Mode 1 No. Y
<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 '''"�` E_ ��
<br /> � No. Bath Exhaust (must be ducted outside) cfm
<br /> 4� '�a ; '
<br />� No. Other Fans: Locations cfm
<br />�" Total
<br />��y
<br /> 'A''�''A''k'k'k'A''A''A''k'k'A'*'A'�'***�'*'k*'A'**'A''A'**'k'k'A''A'�''A'�''k�'�''�''A''A'*'�''k'k'A''k'A'�''A''�''k'k*'�''k'k'k'A'�'�''A'*'A''k'A'�'�'**�''A''A''�'k**'�''A' .,k�.
<br /> FIIEL S'TORAGE (must be approved by fire marshal) =
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<br /> $15. 00 Permanent/Temporary
<br /> Fuei 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 /> PERIKIT FEE CALCDLATION
<br /> " 1. Total of above Installations or Minimum _Fee (_$30._00) $ �C. C� ��
<br /> '' 2. State Surcharge. Add the State Building Code Division �xo�
<br /> Surcharge to each permit $ . 50
<br /> �,�
<br /> , 3 . Postage and Handlinq on all mailed-in applications, $ 1. 50 �
<br /> 4. TOTAL PERMIT FEE add lines 1-3 above $,�� , �- �� .,�
<br /> ' YThe undersigned hereby applies to the City of issuance of a Mechanical Permit, ;`,
<br /> agrees to do alI 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 compiete, true and correct.
<br /> ��
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<br /> ,: AppZicant' s Signature: C�-F �z�� Date: 7 -/ �3 � �� _ �,
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