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_C�) Town of Barnstable G b
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Regulatory Services ate;
Thomas F.Geiler,Director a_�-7'4�
• L►RNSTAHLE. •.J t
Building Division
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9�A ►�e Tom Perry, Building Commissioner
200 Main Street; t, Hyannis,MA 02601
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Office: 508-862-4038 ' Fax: 508-790-6230
TOWN OF BARNSTA13LE
SOLID FUEL STOVE PERMIT
Owner:&orq6 ok Slz /a.:&�ha ) n
Phone: 9�1_ 91 '&AA �
Install at: S' Village:
Map/Parcel: ��S I �Q I —.Date: '01"
Stove
A. Ne /Used
B. Type: Radian
tur /Circulating
C. Manufacer: Lab.No.
D. Model No.: 1k; .,.�,�,Z)
Chimney
A. New/Existing .(If existing,please note date of last cleaning
B. Flue size .
.C. Are other appliances attached to Flue?
D. Pre-fab Type and Manufacturer
E. Masonry: Lined/Unlined
Hearth
A. Materials:
B. Sub Floor Construction:
Installer
Name: Address:
Phone:
Location of Installation:
APPROVED BY: — 7 —d
Please make checks payable to the Town of Barnstable
*This constitutes an official stove permit after inspection,photographed, and approved by the
Building Inspector
Town of Barnstable pennit
T Regulatory Services ate:
Thomas F.GeOer,Director
Building Division . 00
h�►��� Tom Perry, Building Commissioner
200 Main Street Hyannis,MA o2601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
TOWN OF BARNSTA13LE
SOLID FUEL STOVE PERMIT
Owner: Phone: q1`, q q 6"2-2-`
I
Install at:' Village: o
Map/Parcel: Date: a 0-
Stove
A. New/ sed '
B. Type: 'ant irculatin
C. Manufacturer: Lab.No. lima
D. Model No.: _
Chimney
A. New./Existing .(If existing,please note date of lust cleanin
B. Flue Size ��✓
C. Are otherappliances attached to Flue? ct
D. Pre-fab Type and ;I✓�1.�;,� fj f✓L�l
E.- Masonry: Lin nlined
Hearth
A. Materials
B. Sub Floor Construction: 0
Installer �(lti�Yll�✓
Name: Address: "7 D
Phone: q)4
Location of Installation: OZ(oo
APPROVED BY:
Please make checks payable to the Town of Barnstable
*This constitutes an official stove permit after inspection,photographed, and approved by the
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