HomeMy WebLinkAbout1272 MARY DUNN ROAD - Wood Stove Permit 11/29/83 t
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� rt is t l Solid Fuel Stove Permit
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DATE OF APPLICATION ll:.l� ll"..... 1 -'... ...` FIRE DEPT. ISSUING PERMIT .p..........................................................
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NAME (owner) !.. 2 NAME (Installer) :.��/..:...!1.. ��....5..... !Il ;.11:.. ..:..:.. ,Ul•!.L...... y
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ADDRESS ..........................t. .l..'................ ..........................�...................`'.:..............`. ADDRESS �1�..
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l �` CHIMNEY: NEW .....,�........ EXISTING .....................:..
STOVE TYPE ���...Q..Qa'..�I'��.I�:.. .............................................................. ,
Manufacturer 4../'� !VA-A-A ..91 &. CHIMNEY: Masonry ..L�`...........................................
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. Mass. Approval ............: CHIMNEY: Metal
Thisk`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 - r �!T Fire Department,
and subject to the provisions of, the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof."-
Issued By,: ...` �.R/11; ..'�.. "av�"' ........Title ..... � ... . .... Date .....t.. ......
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Permit to installexpires 60 days after issue date
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Stove ............;.... ...........:.........•••;..••••••...................................................................................: ..{. ............................................................................................................................
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Stovelearanre
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Floor ,.. ..............r/)...,..................................................:.............................................................................................................................................................................................................
Smoke Pipe ..........................................:...
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Smoke Pipe Clearance .�.�.{o... ...:...................�................................ ......................
Chimney .. ........ . I........ ......................... ................................................................................................................................
SmokeDetectorL.4 '.... 1f /lf :. ... ;: .`-C /1 ,k ........................................................................................
The undersigned hereby certifies that the installation of solid fuel burning stove and and equipment made under au-
thority of permit dated ...........---�.�: has been made in accordance with provisions/of tli .Commonwealth
��.....�...... .�..�..... r. � f�
of Massachusetts State Building Code now currently in effect and pertaining thereto��`"� �.. ..c....
Installer
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INSTALLATION APPROVED B f °� j ........ m .:` -- T R--�`� l_;; ...
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a.. .........ddate � - ..... y` .......... .. �.. g
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR (-/PINK: APPLICANT }
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