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The Town of Barnstable
9�Lg Department of Health Safety and Environmental Services
039. Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
TOWN OF BARNSTABLE Pe
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SOLID FUEL STOVE PERMIT Date:
Fee: 2,57
Owner: /ill, �". f��'G')J Phone: -< //�f
Address: 3-� 0 i;!? �L i T Village:
Map/Parcel: 13i Q oZ Date/(?
Stove
A. � Used
B. Type: Radiant/Circulating
C. Manufacturer: A Lab. No.
D. Model No.: y 11-4f�
Chimney
A. New/ (If exis ing,please note date of last cleaning) /'' 0
B. Flue Size J&
C. Are other appliances attached to Flue? D
D. Pre-fab Type and Manufacturer
E. Masonry =r,j v Line nlined
Hearth
A. Materials: "--j /�
B. Sub Floor Construction:
Installer
Name: f���. �-J�! /`l i_' ,ij�r��,/., ���`G Address:
Phone:
Location of Installation: _=
APPROVED BY: c• r
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