HomeMy WebLinkAbout0126 MARSTON AVENUE - Wood Stove Permit 10/23/79 7
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Wood Stove Permit
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�� . FIRE DEPT. ISSUING PERMIT �DATE OF APPLICATION) ............................................................................ :.....:................................................
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NAME (owner) d ,-.......... ..?^'.. ..... NAME (Installer) ................-:?.... - :- .................................................
142 16. � �
..................................� % .ADDRESS .........................................................,.
STOVE TYPE ... j.s. �410 CHIMNEY NEW EXISTING
Manufacturer .. 1• ?h' P r�n 'YI r �. .::.�`' .1. CHIMNEY: Masonry .......................................................................................
............. ....................................... .....
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Mass. Approval ..-��....9' ............................................................................... CHIMNEY: Metal ......... I.L�.......................................................
This is to certify that the above installer has permission to install as wood burning appliance at the listed address
in accordance with an application on file with the ..................................f.............................ct^....°:"?....................................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
IssuedBy: ...............'..............................................................................................................Title ..................................
,............................. ......... Date .............................................
Permit to install expires 60 days after issue date
Stove �{r............................................................................................................................................................................................'..............................................................................................................
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StoveClearance ....'..'.......................................................................................................................................................................................................................................................................
Floor .............r,i
........................................................:................................................................:.....................................................................................................................................................................
Smoke Pipe V
................................................................:..............................................................................................................................................................................................................................
SmokePipe Clearance .........................................::.......................................................................................................................................... ...........4..................:....................................
Chimney ......................................................................................... ............................................................................:4� ..................................................................................................................
Smoke Detector r
y .....?........................................................... .................................................................................................:..............................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
it of ......... ... ...'..�....�.................. with provisions of the Commonwealth
y permit dated has been made in accordance
of Massachusetts State Building Code now currently in effect and pertaining thereto .........................
Installer
r /J INSTALLATION APPROVED ` �;�_
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.....................'............................. By.......,......................................................... .....,5......... Title: �,... .. ...................................`�
date � .
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
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