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�z., <br />� : <br />� � � <br /> F <br /> *WOOD BIIRNING EQIIIPMSNT $15.00 each unit <br /> Wood stove with flue <br /> Wood combination or add-on unit <br /> Factory fireplace 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 /> � <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 /> 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 LI INSPECTION ';� <br /> High �owj1 Pressure $15 . 00 � <br /> *****�************************************************************************ .�t <br /> PERMIT FEE CAI�CQLATION '� <br /> 1 . Total of abvve Installations or Minimum Fee ($30.00) $ �� <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, S 1. 50 � <br /> 4 . TOTAL PERMIT FEE add lines 1-3 above $ 5 <br /> ; i <br /> Y� 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 /> A licant' s Si nature: (y�r*�-� O� � ���� Date: �'Z Z�`�Zi <br /> �r s <br /> . . . <br /> _ <br /> ;� :�-� a�; <br /> . _. � � <br /> , , , _. . .. <br /> . . � � <br /> - <br /> � � .. . kp ��. <br />. . �., - .'� . � � ' � :� <br /> . . . .. r. � .. ::: ,� - . <br /> , <br /> ., .. �_. .e..-,. ..�..:..� . . ;,.. .... . .. ,.i_�,_.a <br />