HomeMy WebLinkAbout0176 MILLWAY - Wood Stove Permit 12/02/81 HE
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Solid Fuel Stove Permit
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DATE OF APPLICATION ........ ........ ................................... FIRE DEPT. ISSUING PERMIT .....................................,......................
NAME (owner) �� . .......... .... NAME (Installer) � �
ADDRESS � 0 '�� "� ADDRESS 1 MASS.
.......................�.............................................. ........ .............J:.......................................................................................
STOVE TYPE .... �"� t00�...... CHIMNEY NEW EXISTING
.............................................................................. : ........................ ........................
Manufacturer ...... ....v.t............................................................................... CHIMNEY: Masonry .......................... ..........................................
Mass. Approval ............V-111.:....... ................................................ CHIMNEY: Metal
Q S.................................. ...................................................................................................
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 .1-.. .ta..�..........�............................................... 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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IssuedBy: t�.................................................. .Title ................................... Date /
Permit to install expires 60 days after issue date
Stove ................. ...............................................................................................................................................................................................................................................................
StoveClearance ........... "......:.................................................................................................................................................................................................................................................
Floor .......................!.... ... ............................................................................................................................................................................................................................................................
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SmokePipe ............... ........................................................................................................................................................................................................................................................
SmokePipe Clearance' .......... "..k.................................................................................................................................................................................................................................. j
Chimney .S;/,.!�.......................................................................................................................................................................................................................................................
SmokeDetector ................... Y'2. ...........................................................................................................................................................................................................................................
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The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority of permit dated Z........... has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ?a.............................................................��
Installer
INSTALLATION APPROVED ............................................................
By.v................................... ............................................:r Title: ................................................
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR =.':PINK:. .APPLICANT