HomeMy WebLinkAbout0092 WILLINGTON AVENUE eve MOM
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"0; The Town of Barnstable
` MASS, ' Department of Health Safety and Environmental Services .
9`b 1 ,�0 Building Division
QED MA'S
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
TOWN OF BARNSTABLE Permit:
SOLID FUEL STOVE PERMIT fie:
Data
Fee: Z,
Owner: o vac Phone: ,moo.1 3,5 3} I
Address: Z L<< U tlS Village:�M,Ay6la iys t'LLS
Map/Parcel: A0 U 2 S Date:
Stove
A. Ne ZUsd
B. Type: Radi /Circulati2'sll4a
C. Manufacturer: M� Lab. No.
D. Model No.: ag i a Al
Chimney
A. Ne �xisfinIf existing,please note date of last cleaning) .U£ye tea/use
B. Flue Size " b�`c r
C. Are other appliances attached to Flue? A/_0
D. Pre-fab Type and Manufacturer
E. aso ne nlined
Hearth
A. Materials: G e-�t ,v
B. Sub Floor Construction:
Installer
Name: Address:
Phone:
Location of Installation:
APPROVED BY: ��
Please make checks payable to the Town of Barnstable
*This constitutes an official stove permit after inspection,photographed, and approved by the
'Building Inspector
Stove.doc
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