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• <br /> f ` , <br /> *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 Masonry <br /> Wood Stove (s ) franklin, other <br /> Brand Name Model No. <br /> Mfgr' s Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> r******************************************************************************* <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: Locations cfm <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 Gas opening <br /> ******************************************************************************** <br /> GAS LINE INSPECTION k <br /> High/Low Pressure $15 . 00 <br /> ******************************************************************************** <br /> PERMIT FEE CALCULATION <br /> 1 . Total of above Installations or Minimum Fee ($30.00 ) $ 0:06 <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 $ >:>, <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 /> �]� � rte i� 4..- <br /> . <br /> Signature : Y (-0-4,,,t,,././. 4.2.,..- <br /> Applicant ' sDate: <br />