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<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.
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<br /> A licant' s Si nature: I ��-�� l, Date: �- �,:� 'C�
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