HomeMy WebLinkAbout0306 ARROWHEAD DRIVE - Wood Stove Permit 10/06/81 gi'Pyo�T-�.�4oa
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Solid Fuel Stove Permit
DATE OF APPLICATION ......'..d...... .�........ .. I................... FIRE DEPT. ISSUING PERMIT .........1'A1 1V. :...5........
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NAME (owner) ..............................................................................................:................ NAME (Installer) ......................................1..�.....................t..........................................
ADDRESS ..` ... ..... ......... �� k/ FII� tJ�. ADDRESS .....................................
................ ................... ......................................... �5.. ... ........................................................
�z r-z, &/D 0 CHIMNEY NEW EXISTING
STOVETYPE .................................................................................................... .........
Manufacturer ...................................................................................................................... CHIMNEY: Masonry ........................... ..............................................................
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 ..............................M .................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
IssuedBy: ...................................................................I............................................................Title Date.................................................................................... ..........................................
Permit to install expires 60 days after issue date
Stove ..............................................................................................................................................................................................................................................................................................................
StoveClearance ..................................................................................................................................................................................................................................................................:...............
Floor ..�.................................................................................................................................................................................:.......................................................................................................................
SmokePipe .. ..........................................................................................................................................................................................................................................................................................
SmokePipe Clearance ...........:...................................................................................................................................................................................................................................................
Chimney . ..........................................................................................................................................................................................................................................................................................
SmokeDetector ...................................................................................................................................................................................................................................................................................
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 �� r ram: .. ./° Z! ,`ilTitle: . ..................
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............................................................ By• _.................. ............-................
date
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WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT