HomeMy WebLinkAbout1347 MARY DUNN ROAD - Wood Stove Permit 07/17/81 11 Awl
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Wood Stove Permit
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DATE OF APPLICATION ....."`......................... '.....1�. �............ FIRE DEPT. ISSUING PERMIT . �...... ..................
NAME (owner) ...f�n.b�j..!.r. ........ OS b(A.......................... NAME (Installer) ............ U
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ADDRESS/ � ADDRESS .39" ........................................................
......... ............
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STOVE TYPEq0fA04 ..... a CHIMNEY: NEW ........................ EXISTING ........................
Manufacturer ......So-hys................ V::[ ............................... CHIMNEY: Masonry ....................................... .................................................
Mass. Approval ..IV, IC7' �`.�e"`......................................... CHIMNEY: Metal ................................................................................................
This is to certify that the above installer has permission to install a wood 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.
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Issued B • ML I {`Qil
y. .. ................................................ ..................... Date ................................................
Permit to install expires 60 days after issue date
Stove ...............::........................................................................................................................................................................................................................................................................................
StoveClearance ox....................................................................................................................................................................................................................................................
Floor ............. `..! ..............................................................................................................................................................................................................................................................................
SmokePipe ........................O..K...................................................................................................................................................................................................................................................
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SmokePipe Clearance .............................................................................................................................................................................................................................................................
Chimney ......................... ". . ....`....................................................................................................................................................................................................................................................
Smoke Detector ...................0//.w
•....................................................................................................................................................................................................................................
The undersigned here*b�y.�certifies that the t-�he installation of wood burning stove and equipment made under author-
ity of permit dated . 1�....1.),... .�% �......... has been made in accordance with provisions of the Commonwealth
... ...........
of Massachusetts State Building Code now currently in effect and pertaining thereto ........ :r"..... ...........�:�.. r�''" . r�
Installer
C4, 4 By........................................................... x .......... Title. .......................................
.............INSTALL TION APPROVED 1................................
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT