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<br /> *WOOD BIIRNING EQIIIPI�NT $15.00 each unit �
<br /> Wood stove with flue �
<br /> � Wood combination or add-on unit r
<br />� ;
<br /> Factory fireFlace with flue ,:
<br /> Factor Fireplace (s) freestanding Masonry - �
<br /> Wood Stove (s ) franklin, other '.�
<br /> Brand Name Mode 1 No. �,
<br /> Mfgr' s Min. , Clearances, side �, rear , min. flue dia.
<br />�£ Total
<br /> ********************************************************************************
<br /> VENTILATION $15. 00 each project
<br /> F�
<br /> �` No. Ritchen Exhaust ducted recirculating cfm �
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<br /> No. Bath Exhaust (must be ducted outside} cfm ��`� �
<br /> , No. Other Fans: Locations cfm
<br /> � Total
<br /> ********************************************************************************
<br /> FIIEL 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
<br /> High/Low Pressure $15. 00
<br /> �� ********************************************************************************
<br /> PERMIT FEE CALCIILATION
<br /> 1 . Total of above Installations or Minimum Fee ($30.00) $ ��C'� ��' ��
<br /> 2 . State Surcharge. Add the State Building Code Division '�'
<br /> ��
<br /> Surcharge to each permit $ • 5� �4 °�; k
<br /> 3. PostaQe and xandling on all mailed-in applications, S 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 /> a.,;' the re��lations of the Minnesota State Building Code, and certifies that aIl
<br /> �
<br /> statements made on this application are complete, true and corre.:�.
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<br /> t' A licant' s Signature: (;c_Q �--G�--�--' Date: ro �a 7 � � �� y�;~ f�
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