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�lo� �25
The Town of Barnstable
Massachusetts
Q" Date lv/,��
• Nw►ee�g► SOLID FUEL STOVE PERMIT �s- a
Fee y
This constitutes an official stove permit after inspection and approval by the building inspector.
Owner �Q E
SCE Telephone no. 0 I
Address of Prop a 5� v�� .� Village ��
rty
� I � pp 1 'I �NTfe P i D t ll
Location and Stove Type LTV ail(C.c�o(h
Cast ;50 as*a�� - �� J (�� 10C
Date:
Building Inspector
yp�tM E Taw
!! . - F�YTOWN OF BARNSTABLE, ; Stobe M!t
� ���--
i DAHd9TAHL i lea- a
'Op 16 q. MASSACHUSETTS
ee
Solid Fuel Stove Permit
DATE .OF APPLICATION .....11„� 3,,,, `1,�-
r r. ... ......... FIRE DEPT. ISSUING PERMIT ...........
NAME (owner) 1 � . ...........:.a.`^a,\. .. ......................,..............;n.......... NAME (Installer) .......................................................:................................
C " � . ..r ....... ADDRESS ....�............ ..........(C� C \1\ ...... .............?�'
, .... ..\ ewt � as
STOVE TYPE ........................... ..................--:...... .G................. CHIMNEY: , NEW .............:.......... EXISTING .......�........
r nn / .
Manufacturer ......:. dbYJ. .............................. ..... CHIMNEY: . Masonry LI
Mass. Approval'.... .... . . .. ..... ......... .............................. CHIMNEY: Metal ..... .............................................. ..................
This is to certify that the above installer has permission to install a solid fuel burning appliance at the listed
address in accordance.with an application on file with the ......................................:............................................................ Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By ...Title ..........................................
: ................... .................. .......... ........ ................ Date
: Permit to install expires 60 days after issue date
Stove .............. ....:..:..4 .( itL/......................................................................................................................................:........................................... .....
Stove Clearance ........ �� �!............. .................�d� .,. .�.i S......... .... .............. ..... ........: ............ .......
Floor ...................v.lt 1 5............Ej,/1....... ..e�.....� .......1//o..��. Y! :................... ......... ............................................. ......
SmokePipe. ......... .......... ............................. ......... �.Q ...........................
l l..t' . l j.�... �i .......1."....... f:Ch
Smoke Pipe Clearance ..:... ::........................
Chimney ................ ....
J-`.� , ......... ......... ....................................................................................................................... ...........................................................................
Smoke Detector ..... .:.........................:.................: `..,..........................:
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority of permit dated ...................................................... has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ..........................:.............................................
Installer
INSTALLATION APPROVED ...: .� .................:. B �.. Title: �.
y.... A
Vate
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR — PINK: APPLICANT