HomeMy WebLinkAbout0068 BUMPUS ROAD - Wood Stove Permit 01/09/80 �Of 00 1�
cat ' TOWN OF BARNSTABLE
A6 9 �1� '" MASSACHUSETTS
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Wood Stove Permit
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DATE OF APPLICATION �' FIRE DEPT. ISSUING PERMIT
cZ� '1 L2hl !,!) NAME Installer �.,40 ��O .4:...��V'..�.... �/?')r�.....�-
NAME (owner) .................c........�.......... ........................ ( ) ......... " ..
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ADDRESS ..`. ADDRESS .....................................................................................................
STOVE TYPE -/ CHIMNEY: NEW ........................ EXISTING ...../. U..
.............................:................................................................
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Manufacturer q..Al, t� 1� � ............................................................................. ............................:. CHIMNEY. Masonry ....... ..................................
Mass. Approval 0
............................................................................................. CHIMNEY: Metal ................................................................................................
This is to certify that the above installer has permission to install,rar wood burning appliance at the listed address
in accordance with an application on file with the �� � ;'O.�'47..................................... Fire Department,
..............................................:.................
and subject to the provisions of the Commonwealth of Massachusetts' State Building Code and regulations made
under the authority thereof.
IssuedBy 04V................................ Title_............................................................ ............... Date ................................................
. ... . ......... /
Permit to install expires 60 days after issue,date
Stove .............................................................................................................................................................................................................................................................................................................
Stove Clearance f) f
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Floor ... ............................................................................................................................................................................................................................................
...............................
Smoke Pipe .....................
...........................................................................................................................................................................................................................:.............................................0Smoke Pipe Clearance .. .................................................I.....................................................................................................................................................................................................
Chimney ��
.......................................................................................................... ........................ ................................................................................
Smoke Detector t
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity 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
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INSTALLATION APPROVED ........................... .. Title..:n«....... .......... ....:....................
.............................. By...................... .......... !
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
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