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Ab`�..�� _�`3'':�� <br />*WOOD BIIRNING EQIIIPMENT $15.00 each unit ,'l .,�,�b����; �������,��? <br /> Wood stove with flue � �"' ` � � ` `� <br /> _ ;5 ,,n� . <br /> Wood combination or add-on unit h �*'�� � t*, , �, <br /> Factory fireplace with flue ` ���ry�� ��.,� � <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 A <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 /> :��: <br /> LP Gas, gallons g=� <br /> Other Gas opening �; <br />******************************************************************************** <br /> GAS LINE INSPECTION <br /> High/Low Pressure $15. 00 <br />******************************************************************************** <br /> P$RMIT FEE CALCIILATION <br /> 1. Total of above Installations or Minimum Fee ($30.00) $ � � ^ <br /> 2 . State Surcharge. Add the State Building Code Division <br /> Surcharge to each permit $ .50 <br /> 3 . Postaqe and Handling on all mailed-in applications, S 1.50 <br /> 4. TOTAL PERMIT FEE add lines 1-3 above $ �n , � _ <br /> I'he undersigned hereby applies to the City of issuance of a Mechanical Permit, <br />�grees 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 app lication are complete, true and correct. <br /> r <br /> , <br /> A licant' s Si nature: I ��-�� l, Date: �- �,:� 'C� <br /> PP J , , <br />`' T`� x e �.t�t'.��F'a��'^� °�-� .. { rr`<'S- ,� � �`� :a �d .i. a� :.k a�..c ;� ,+?�'� ��:�� ,t �!" . 'Y� �, .s�sE+ �.� � <br /> u"� � �� r '�'" i '=�� ^ 1, Y ," �,.. ��,�". <br /> L.� `y w.'S��i': 'rt.Sa. � `3.y "L � RM�. "S` t..�3M�� 4 >t . 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