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ciTY oF oRONo � 6124730510 04�24i98 11 :15 � :02i02 No:378 <br /> � . <br /> �����I�� EOU��� <br /> ._. V�'ood stov� w�ith flue <br /> _ � Wood curribinaiioa o.r add-on <br /> ____ F�ccury firepla�c with flur <br /> _ Facfc.,ty Fire�+lace (s) F��estantii�g _ Masanr� <br /> __y_ WOt� SIl?V� (S) PIStI�C�ill, Od1CC , <br /> lirat�d Nam�. � Model No: — <br /> � , . ---�--�-- --___�,.:.�:._ -----.. .� <br /> 15/!f r s Min., Cleuances, side _�, �_w_, rr�. �� aia. ' <br /> ���� <br /> ` No. _�._ Kitchen Cxlaausc ducted r�cir�u.lating cfm <br /> N�• � Bach f'�chaust (mus� b� du�trd ourside) cfm <br /> Nv.. M.__ C)c&er Fens: I�c,carions --- �� <br /> -� _,_. <br /> k'UEL .STORA�F.. �MUST B� APPRUV$D BY �I1tE MA1tSHAL.) <br /> _ [nstxtiatioe Rcmo�+al <br /> _�,� k'url p�l -- SaUons _ underground ____r_ ir�ide oucsuie <br /> LP Gas: _. gallons <br /> _,� Orher _ __ Gas openi�g <br /> �'�'r��T.���r n ATjQ� <br /> 1: 1.25°r� of�a�crg�P�* or �n�mu�Fee ( 35.001 <br /> ��._...-� _. x .o�z5 $ 11�.� � <br /> (c�►ncr�ct pricej - — <br /> �- �e Su.c�„�rge.. t* }kdc! the S[8ie Baildic�g C�e bivision <br /> Surcharge ta eech permic, x .0005 $ __�,(p� <br /> or 5�.�(►, whichever ix great�r t�conu�cc priae).� _.� <br /> �. �uar,�see ��a�d1Jl1L (C�nly ma�il-in app�i�atians) $ 1 S0 <br /> 4- Tq'fAI� PFRMI"C FE� (Acicl litt� 1-3 above> $ laa• y(�T <br /> + CUN7'RACT AKICE or JOB COST n�eans [?ae acew!or estin�ted dollac anwune char for the <br /> Ea1 pCiD1i[[fd <br /> work including ��ecrcial�, labor, profic, u�Q uthec fixca �oats_ !� is the amount co be tharged oo �he <br /> cu�tomer for r#�e.work�rte, If aqy muerial, oquipmenc,labor,or l�tallariuu gre furni�hed by the owme�r. <br /> cerian�or ar�y o�t,er party the rea�onable markec value ot auch irems mua[be added w cAa cnima�ed cost <br /> c►t cont�act prict fnr permit fec purp�paes. In ttre evaAt tbst thet�is a�yu�e on the amoun[ o[Ihe job coat. <br /> the Ci�y uuy Fequesr t6e �ubmisaion of a si�jned copy uf tAe actua! coatreec_ <br /> *� Thr 5"FAT� SURCH�RdE 13 .00OS oi ihe contncc price under E1,OOO,OOt) or 3.50 - whlchevrr is <br /> �carer. ��c v�uetions aver S 1,OCIOi,000�all;the Qepartmcnt of lnspectioaal Servycea for tbe grice. <br /> 'Thc wtdecsisn�J hereby epplies to the City for issusate of a Mechenica! Permit, a�re�s ca do <br /> a}1 w�rk in 6trict acc;ordanc;� with dte ordinances af the City and the rcgulacions.of thc Minneaota <br /> Sra�e �nilding tod�, and c�rcifies tha��il statcments mad� on thIs applicati,un are complere, truc <br /> �nd cArrecc. <br /> ApPiicanc'� 3i�aare: _._� — Date: ������ <br /> AFPrn.�ct Hy: _ � � Dau: 2 -Z5-oc� <br /> —�-- . � _ <br />