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� ��-�-�; <br /> � ` ` <br /> �; � - . <br /> F.i �` ..� .. . � r9i <br />� p ,.� . . . . , <br /> }; . �� <br /> f�, <br />'�Q:-,i.':.:. ... .. . . . . :.. <br />�:C' <br />.:$: <br /> *WOOD BIIRNING EQIIIPL�NT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> �=Factory f irep lace with f lue ��Rc� C.L.(=r4 tZr4nCL ;, <br /> Factor Fireplace (s ) freestanding Masonry - ;�, <br /> Wood Stove (s ) franklin, other '". <br /> BrandName Model No. �� <br /> Mfgr's Min. , Clearances, side , rear , min. flue dia. <br /> Total <br /> ******************************************************************************�r <br />��"` VENTILATION $15.00 each project <br /> 4H No. Ritchen Exhaust ducted recirculating cfm <br /> No. Bath Exhaust (must be ducted outside) cfm <br />::�;� No. Other Fans: Locations cfm <br /> Total <br /> ******************************************************************************� <br /> r FIIEL STORAGE (must be approved by fire marshal) <br />��� - <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 <br /> �� High/Low Pressure $15. 00 <br /> ******************************************************************************* <br /> �:: P$RMIT FEE CALCULATION <br />��� l. Total of above Installations or Minimum Fee ($30.00) $ <br />�; `, 2. State Surcharge. Add the State Building Code Division �: <br />�;s'. Surcharge to each permit $ .50 ' <br />� 3. Postaqe and Handling on all mailed-in applications, $ 1.50 <br />�'' 4 . TOTAL PERMIT FEE add lines 1-3 above $ <br />.,f;„. <br />��., <br /> The undersigned hereby applies to the City of issuance of a Mechanical Permit <br />�'' a rees to do all work in strict accordance with the ordinances of the City an <br />����` the regulations of the Minnesota State Building Code, and certifies that al <br />;:� <br /> statements made on this app lication are complete, true and correct. <br />�. . <br /> � � -- � �� � <br /> Applicant' s Signature: Date: -� � <br />,-� ,, <br />;��„ . <br /> .�; _ : <br />; <br /> F_ ' <br />!. <br />-... ; � . <br /> t�. <br />� , : � .,�� <br />{�: �:_ : - <br /> �, _ <br />� _ <br />�.,: „ <br />