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CITY OF ORONO -ff 6I r4y4din u:)i tyiUU ec:a( Ly :Va/w NV:yci <br /> Gaa, factory fireplace <br /> Wood.bursting factory fireplace with flue <br /> _ ..•l�t>ost Sfove . <br /> Wood.stove Willi flue <br /> Brand Name.'.* = Moc}eTNn. <br /> V ;NTILATION <br /> Kitcheci Exhaust ducted recirculating 0M <br /> Nti.• Hath�Exhastet (must be ducted outside) cfm . <br /> :No.. . Other Fans: l ocations cfm <br /> [�:i.STORAGE NUS'T BE APPROVED BY FIltl MARSHAL) <br /> nstallation, <br /> Ri:mnvR} <br /> Fuel:oil: gallons underground <br /> inside . outside <br /> ..LP:Gk: - gallons <br /> Otfit:r Gas.opening <br /> PIRM11ZBE CALCULA i. <br /> l.. 1.22 %'of'Contract Price* or MiAimWt1 Fee <br /> , - (conut}ct price <br /> 2. I �trrcti '" <br /> Add theState Building Coda Division eJ.V <br /> Surcharge to eath.perinit. x .4005 $ ► . <br /> or'$.50; whiche"ve.r is.greater (eoncract price) <br /> 3: i&Stage and.l!landlit Q• (Only. mail-in applications) , <br /> 4. . . ".:TQTAL FERM1'1'•.FEE (Add lilies.1-3 above) $ ; <br /> CONTRACT PRICE or JOB.CM means the actttal or r9tirttatsd dollar$meront ittrd <br /> wprk including materials,laboi.profit,attd uthet fixed costs,'It is the amount to be charged to the customer <br /> for•the wsukc dam. ..l€aay material, equipment:labor,or.i86ra1}atit>tr are faraishcd by•the owner,tenant or <br /> any other parry the reasonable m6rket value of such items must be added to the e$timnted cosi or contract <br /> pries tar permit fee pttc}uises. In dee evEnt that there is enispute nn for attt+►unt of ftjob cost,the Ciry may <br /> request tha 9ukitniesion .f a signed copy of the actual eotttract. <br /> SURCHARGE it..0003 of the coiatraci price unikr 51,000;(0 or .S.SO- whichever is greater. <br /> For valuations uvcr S l��cal,-the Depactge u a buPectioeal-Services f0 the-prica. <br /> T}lc uniirrsEgnt;d rel j applies to ibex City_for issuance of a Mechartit-al PertTrlt, agrees co do all <br /> work'in.stricr acc4rdatice with.the ordinances of-lite City and the regulations of the Minnesota <br /> State itulld�itig Code,.and certifies tharall statements trade on this application are complete, true <br /> and cors -It.: <br /> �tipplicant's Signatur ' 1 <br /> Appr �t}sy:` <br />