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HomeMy WebLinkAbout0053 SPRUCE STREET - Wood Stove Permit 10/17/79 f TOWN OF BARNSTABLE 2 DARNST"L 'oo6 9. MASSACHUSE'I"I'S Wood Stove Permit , DATE OF APPLICATION ..2......7 ..........................................................� �' FIRE DEPT. ISSUING. PERMIT ........................................... NAME (owner) ..�..J.�..7..F C? S.. ... �[- NAME (Installer) 1'Gh...... :.. ° .. .1 .................................... ................................. ............ . .. ... ADDRESS . y aj.r- =R .: . . . .iU / ��..�.. .O2. rt ADDRESS ...... .: .. .,.r.. ....,,............................................................... STOVE TYPE .......:................................................................:..................................... CHIMNEY: NEW ........................ EXISTING .. ... Manufacturer ....7.: .r � '.: 'AL0. 9 .................................. CHIMNEY: Masonry ./-."`� ....... ..................................................... ....................................................................................... Mass. Approval ............................................................................................................. CHIMNEY: Metal ................................................................................................ This is to certify that the above installer has permission``to install a wood burning appliance at the listed address in accordance with an application on file with the .......f�.4 :% i-.............................................................................................. Fire Department, and subject to the provisions of the Commonwealth of.Massachusetts Sta a Building Code and regulations made under the authority thereof. IssuedBy: .,..............._.... .......,.........:............,.. -f-rx"` Title .,,. ..........�Z/............................ Date i Permit to'`install expires 60 days after issue date Stove ............................................................................................................................................................................................................................................................................................................. StoveClearance ............................................................................................................: `:.:................ Floor ...............................................................................................................................................................................................................................:.............................................................................. SmokePipe ................................................................................................................................................................................................................................................................:............................. Smoke Pipe Clearance Chimney ..................................................................................................................................................................................................................................................................................................... SmokeDetector .............................................................................................................................................................................................................................................................................. 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 INSTALLATION APPROVED ... `/1�✓ L.......... By:....................................................................................`'Title.: .............. "date WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT