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~ � <br /> *WOOD BIIRNING SQIIIPI�NT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination o add-on unit <br /> Factory fireFlac with flue <br /> Factor Fireglace (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 /> ******************************************************************************* <br /> VENTILATION $15. 00 each project <br /> 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 /> 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 <br /> High/Low Pressure $15. 00 <br /> ******************************************************************************* <br /> PBRMIT FEE CAI.CIILATION <br /> 1. Total of above Installations or Minimum Fee ($30.00 ) $ <br /> 2. State Surcharge. Add the State Building Code Division $ .50 <br /> Surcharge to each permit <br /> ' 3. Postaqe and Handling on aIl mailed-in applications, S 1.50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above S <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 an <br /> the regulations of the Minnesota State Building Code, and certifies that al <br /> statements made on this application are complete, true and correct. <br /> � � � _3 - Z <br /> A licant' s Si ature: ��'� � � Date: / <br /> FP � <br />;, , <br />�- . ,� ,,,,. - <br /> k, ;, _ <br /> r. <br /> ,, � <br />