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*WOOD BURNING ,EQUIPMENT $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 Model No. _ <br /> Mfgr ' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> ******************************************************************************** <br /> VENTILATION $15. 00 each project <br /> No. 1 Kitchen Exhaust ducted recirculating cfm <br /> No. / _ Bath Exhaust (must be ducted outside) cfm <br /> No. Other Fans : Locations cfm <br /> Total . <br /> *************************************************************** *****.*4*** ******* <br /> FUEL <br /> FUEL _STORAGE (must be approved by fire marshal) <br /> $15. 00 (rmanen /Temporary <br /> Fuel oil, gallons underground _ inside outside <br /> LP Gas, gallons <br /> Other 3 Gas opening <br /> ******************************************************************************** <br /> GAS LINE INSPECTION <br /> High/Low Pressure $15. 00 4111, <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 . Postage and Handling on all mailed-in applications, $ .1. 50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ _/0 5-, 5CD <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, true and correct. <br /> Applicant' s Signature 0-21t .40,/ .1 Date: l .' <br />