HomeMy WebLinkAbout0045 MILLWAY - Wood Stove Permit 01/05/82 L a
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Solid Fuel Stove Permit
DATE OF APPLICATION FIRE DEPT. ISSUING PERMIT ............................................................
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NAME (owner) ............J.......................... .................e .................... NAME (Installer) ...... -�._.................................................................
ADDRESS . 5 f`',tf�.(,l�;tJ, ........................................................... ADDRESS '.........................(5 "..................................................................
..........:................
STOVETYPE ...........t Dq...............................�..j.......,v.................!.................................... CHIMNEY: NEW ........................ � /E�XI�STING ........................
Man
ufacturer .......................` � ... `^�....................... ....... CHIMNEY: Masonry !%...............
Mass. Approval .........Y.................................................................................................... CHIMNEY: Metal ...................................................................................................
This is to certify that the above installer has permission to inn is all a solid fuel burning appliance at the listed
address in accordance with an application on file with the ...P........ .................................................. Fire. Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: l �.�.�t✓t .. Title .................................................. Date .. ................................
Permit to install expires 60 days after issue date
Stove .......................................................................................................................................................................................................................................................................................
StoveClearance ......... ...........................................:..........................................................................................................................................................:...............................................................
Floor .................... .� ...............................................................................................................................................................................................................................
Smoke Pipe ......... .........................
.........................................................................................................................................................................................................................................................
SmokePipe Clearance ........!:...................................................................................................................................................................................................................................................
Chimney ......................................................................................................................................................................................................................................................
Smoke Detector .................y'0
Y..............................................................................................................................................................................................................................................:...............
The undersigned hereby certifiers-that,,,the installation of solid fuel burning stove and equipment made .under au-
thority of permit dated ... ..y �-? � ...... has been made in accordance with provisions of then Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto N/
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............................
Installer
In
INSTALLATION APPROVED
.� Title: ........���...... ��.�
date f
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WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT