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LI t Y or UKUINU ArrLILA 1IU!N rvK ivit;LtiAINILAL 1ThKIV111 Pageiv2 of:4 <br /> + r <br /> COOLING SYSTEMS <br /> Quantity: ! '/ <br /> Make: L/�2a!rift.-e l (vair-a fir <br /> Model: J d �Z (� <br /> / <br /> Tons: SIL 2-- <br /> H.Power <br /> FIREPLACES <br /> Gas factory fireplace <br /> Wood burning factory fireplace with flue <br /> Wood Stove <br /> Wood stove with flue <br /> Brand Name Model No. _ <br /> VENTILATION <br /> No. Kitchen Exhaust duct recalculating cfm <br /> No. Bath Exhaust(must have duct outside) ___ cfm <br /> No. Other Fans: Locations cfm <br /> FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) <br /> Installation or Removal <br /> Fuel oil: gallons underground inside outside <br /> LP Gas: gallons <br /> Other Gas opening <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute Yes This Section Applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1) Does not require modification to electrical or gas service. <br /> 2) Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ - 15.00 <br /> State Surcharge$ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply,follow guidelines below: <br /> 1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) �l/ <br /> 31, 073 x.0125 $ ( -1 f <br /> (contract price) (minimum$35.00) <br /> 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($.50) <br /> 31, x .0005 $ /5: 51/ <br /> file://C:\Documents%20and%20Settings\mimi\Desktop\CITY%200F%200RONO%20APPLICA... 7/31/2003 <br />