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0069 ANGEL ROAD - Wood Stove Permit 09/16/81
TOWN OF BARNSTABLE SMISTMM i 6 9. ,� MASSACHUSETTS Solid Fuel Stove Permit DATE OF APPLICATION .......�................................................................. FIRE DEPT. ISSUING PERMIT .......,..... .f........................ NAMEowner :....................................................................................... NAME Installer .................................................................................................. ADDRESS A..2.........r= haC:f_ C RJ. ADDRESS ..... ..g..............�`i AJG L Eck . ................................................................ ..................................................................................... Jw STOVE TYPE ...1'L'.©:� 'y ............................................................:........................... CHIMNEY NEW ........................ EXISTING ........................ Manufacturer '............................................................................... CHIMNEY: Masonry � 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 the 17....jP. 0.A....... ..................`.............. ..... Fire Department, and subject to the provisions of the Commonwealth of Massachusetts State Building. Code and regulations made w �. under the authority thereof. � 1 Issued By � ......................................................Title Date Permit to install expires 60 days after issue date V Stove ............................................................................................................................................................................................................................................................................................................. StoveClearance ...........................................................................................................................................................................................................................................:...................................... Floor ........................................................................................................................................................................................................................................................... SmokePipe .............................................................................................................................................................................................................................................................................................. SmokePipe Clearance ................................................................................................................................................................................................................................................................ Chimney .................................................................................................................................................................................................................................................................................................... Smoke Detectors :..� .............................................................................................................................................................................................................:.............................................. The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au- thority of permit dated ..9... J.4...........9 1.......... has been made in accordance with provisions f> the Commonwealth of Massachusetts State Building Code now currently in effect and pertaining thereto ... ''. / ..... P ... .. . Installer INSTALLATION APPROVED ................ By:.........................................:................................................ Title: . ................................................ date t WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT