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� t, <br /> ♦ � <br /> • <br />,4;.:: <br /> ' *WOOD BIIRNING EQIIIPI�NT $15. 00 each unit <br /> `" Wood stove with f lue ,�; <br /> Wood combination or add-on unit �; <br /> Factory fireFlace with flue <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 <br /> ******************************************************************************** <br /> �� VENTILATION $15. 00 each project <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 />�,, , �kir�IF*�k�lr�kakdc�lt**�kit*ic�kir*�c�lk�k*�k*�t�lk*******�k*ic***�k�lk�ltic*�Ir***�k�k�t�lk�kit***�k**�k*�k�t*�kyF�kiririt�fr*�It*�rt�r�t�IF :, <br />�`; FIIEL STORAGE (must be approved by fire marshal) <br />-�:< ' $30. 00 Permanent/Temporary <br /> Fuel oil, gallons underground inside outside <br /> ysTM LP Gas, gallons <br />�� Other Gas opening <br />�. ******************************************************************************** `� <br /> : GAS LINE INSPECTION <br /> r ; High/Low Pressure $15. 00 <br />' •: *****************,k**********,t*,k,k********************************,k**,t************ � <br /> PERMIT FEE CALCOI,ATION <br />- 1. Total of above Installations or Minimum Fee ($30.00) $ 3 D `- <br /> x�` 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, $ 1. 50 <br /> `"' 4 . TOTAL PERMIT FEE add lines 1-3 above $ � 1 <br /> i� - <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 /> . the regulations of the Minnesota State Building Code, and certifies that all <a <br /> 4� statements made on this application a complete, true anc3 correct. � <br /> � <br /> TM, �a ,t.� <br /> A licant' s Si nature: Dates� � ' �� <br /> FP 9 <br /> ' s <br /> a; <br />",. ' , , .': <br />'" ' , ,;, <br /> � <br /> �i <br /> �. <br /> ,, <br /> _ :� <br /> : � <br /> . ,, <br />