HomeMy WebLinkAbout0005 GEORGE STREET - Wood Stove Permit 11/04/81 (2) TOWN OF BARNSTABLE
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' 1039 MML MASSACHUSETTS
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Solid Fuel Stove Permit
DATE OF APPLICATION .......... .."" t f'. � FIRE DEPT. ISSUING PERMIT %f
NAMEowner .................. NAME Installer .................... ...... . ........................................................
ADDRESS Z .... o k'I C.,.......S ............ ..........................................Y� n..:%......... .�... ADDRESS ...........................................................................................................................
............... ...... ...........
v C. � ..... Y
STOVE TYPE /_R 1 u cC To L"c" : CHIMNEY: NEW ........................ EXISTING ......�......
Manufacturer ...., l .��........ ..�A.............. CHIMNEY: Masonry ........................:e..........................................................
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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 they,.� �� � n. ..................................... Fire Department,r........ . ............
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: ..........................................."7 �......................Title `..`..�c.�d.-'-- -?�.. ................ Date .�//.�.....�.�............
. ...................................... (........... .
Permit to install expires 60 days after issue date
StoveL-Z ....................................................................................................................................................................................................................................................................................................
Stove,Clearance t: s:...........................................................................................................................................................................................................................................................................
Floort/:.......:....................................................................................................................................................................................................................................................................................................
Smoke Pipe b
:.............................................................................................................................................................................................................. i
SmokePipe Clearance .. .....................................................................................................................................................................................................................................................
Chimneyz............................................................................................................................................................................................................................:..........................................................
Smoke Detector I'll
r ........................................................................................................................................................................................................................................................................
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
INSTALLATIONAPPROVED ..........:................................................ By:.............................;........................................................ Title: ................................................
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT