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t' <br /> HEATING SYSTEMS $15. 00 per 50,000 BTU output <br /> FUEL V nat. gas, 1p gas, oil, elect. <br /> other (specify if combination burner) <br /> EQUIP. (if more than 1 unit per bldg. list each separately) <br /> NO. TYPE BTUH IMPUT BRAND NAME MODEL NO. <br /> f.a. furnace v L <br /> unit heater <br /> solar htg. <br /> equipment <br /> Solar Equipment $50 .00 each system Total <br /> *************************************************************************** <br /> AIR CONDITIONING $15.00 per ton air <br /> Central Air Separate Central Air System <br /> w/furnaAe �; <br /> _ Brand name 06t 'ill Model No.���/!J 43E� Tons <br /> Total <br /> *************************************************************************** <br /> REFRIGERATION $15 . 00 per compressor <br /> Total Number of Compressors 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: Locationscfm <br /> Total <br /> *************************************************************************** <br /> FUEL 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 <br /> GAS LIhTE INSPECTION <br /> High/Low Pressure : 15 . 00 <br /> *************************************************************************** <br /> PERMIT FEE CALCULATION <br /> 1 . 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 . Plan Review Fee (65% permit fee) $ <br /> 4 . TOTAL PERMIT FEE add lines 1-3 above $ <br /> The undersigned hereby applies to the City of issuance of a Mechanical <br /> Permit, agrees to do all work in strict accordance with the ordinances of <br /> the City and the regulations of the Minnesota State Building Code, and <br /> certifies that all statements made on this application are complete, true <br /> and correct. <br /> Applicant ` .Date <br />