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appreciate it if you would notify us at 508.428-1112 and then destiny this documeri.
THANK,YOUFOR YOUR HELP- The HUNnNGEST CROUP ..........
40 INdus" load,Nlarstohs Mills, MAC 01648-0340 508.4 8-1112 Fax 418.16D5
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Town of Barnstable ern it: g0r718
` °FTHEF, Regulatory Services ate: I1118loq
Thomas F.Geiler,Director
' MUMS'"BM ' Building Division ee: pU
y Mass.
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1a39 �•�,erEo s Tom Perry, Building Commissioner •
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-8624038 Fax: 508-790-6230
TOWN OF BARNSTABLE _
SOLID FUEL STOVE PERMIT
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Owner: AV(-,V5—t W �J (3E Phone: sofS 0
Install at:,S2 C,46FAl AJ COOK t rJ Village:
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/ �Map/Parcel Date: 11 /1312 "y � r
Stove
A. New Used t7 6+A O M o 7E
B. Type: Kadijan�>Circulating 07-1- 0 Z(k- S 2. "f-Z
C. Manufacturer: A VA L o rJ Lab. No. U t-- !4 9 2 , 3`T �0
D. Model No.: / / `T p
Chimney
A. New xistin (If existing,please note date of last cleaning I y Z�inr.5 PG-�
B. Flue Size 49 " 73,1 iN Sie 12.�11_
C. Are other appliances attached to Flue? f}p
D. Pre-fab T e and Manufacturer tl! a
E. asonry: ine nlined
Hearth
A. Materials: f'z—
B. Sub Floor Construction: C'o ntC R E C-
Installer
Name: I'RO-rJ , hoUS6-' Address: 6 C01?Pb&#'!ianJ, S t.
Phone:,SoV-4 41 - t/7 q HYANrviS, IUA 026o l
Location of Installation: C6N?E2 v,1-4
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
Q:forms:stove
Rev 122801