HomeMy WebLinkAbout0309 LINCOLN ROAD - Wood Stove Permit 01/08/80 '
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72 75-
MASSACHUSETTS
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Wood Stove Permit
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DATE OF APPLICATION DIRE DEPT. ISSUING PERMIT
NAME (owner) NAME (Iua±uDor) .����!����'----��
ADDRESS ADDRESS
'STOVE TYPE CHIMNEY: NEW _____ EXISTING p_
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CHIMNEY: Masonry ^
88uma. Approval CHIMNEY: Metal
This is to certify that the above installer has porodumioo to install a wood burning uypliuuoa at the listed address
in u000rduoco with an application on Fire Department,
and subject to the provisions of the Commonwealth of Muxxuohnoatto State ]0uD@Rug Code and regulations ouuda
under the authority thereof.
Issued By: Date
Permit to install expires 60 days u2ar issue date
Stove
StoveClearance _------'--'---------------------------.----------------------------------------
Floor ............................./�'��'--'--------_------------------................................................................................................................................................................
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Smoke Pipe
0ou/ke Pipe [Xouruooe
Obinuoo7 --------1<�'{�.----------------------------------------------------------------------------'------
8omko Detector
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
f Massachusetts State Building Code �� � ��ut and pe�u�uQ tb�o� �
Installer— /
:.
date I
WHITE: FIRE DEPARTMENT - CANARY: ou/uoIwo /wspEcTox — p/wu. APPLICANT