35-115 (9) a x 2�-
13ilv Ali r)tusrtlg " -^
Dlil'Ait'I't�tEN'I' OF BUJLDR,�C; INSPECTIONS - _-
INSPECTOR 212 .Xftiin Street " A m'deip<al Building `',� -. =r�,•�
Nortli.ampto;.i, A ass. 01060 'Y
:301°1.17 FUEL RlHtNINC APPLIANCE, & r1l!lIMNEY APPLICATION PERMIT NUMBER
Location fJ r y.�isPi� Ore°
Owner or Lessee � � !
o_St'rnQ/Y' I/ l�etl�f �SG� GyL/ S[s✓ °� c�'�. ��/v�
(Natnr.) �-Y-� (Mailing Address) (TeLe. No. )
Cont:racl:or°
(Na (Tele. No. )
RESIDENTIAL NON-RESIDENTIAL
_
One farni.l y Horne. � Business
Two or Mora Other
Number of ltnit.s Specify
Stories 'n Bfiil.ding
Type., of Appl.ianne
New _ Wood burning
Used Coal. •
Labeled _ Combination
Date of Purchase � Other
Spe.c1.fy
Model or Type _Res 01'v7-c -
Mh.nufacturezr yep. 0
Purchased From la /ry Sow _
(Name of Firm)
(Address)
aq
Cost - Construction & Appliance $ � R
Chimney New Metal Bestos
Existing Interior chimney
r Separate Flue Exterior chimney
Other Appliance attached to flue
Masonary Lined
Unlined
Notes & Data:
Signature of A ip li a nt.." , ?� ~�JG1/o '_f_i.1i
J
(Address)
Approved By: _ -
Title: Date: /l �/
A. fD 'r fD Q y ►+1
N
to
CA tz)
o o n
r. C rD n `c A> `� r* CD O
fm `< ►` C s* m t7 t�
rb tr m
1...1 A• to O C d Ly TJ 2 Cn
A. O c � t� �] � ►�
• a• '�'i o .r
. cC
:Y eD
CA
O C=7 eD
y a c <
.'t1 O �n n .1 O M✓
U7 vc o a!• t<D o• a SD n CA
CrJ r•*
� o
C �• V y y V1 r
'L5 `C3 'C 'T3 'O `i0 C ;o
eD
C C O O O O O O r
G r
� d QQ UQ � ""y ••'� "•h "'ti '.7
� M�•I 1—I t^ � 61
rA -fl
Ch
oil P�
a (� � ° o � y• `• C c �
as va
0 0
�•'� o' � O � b rD � `�
�••s � d C" ? � C" p' C' C "' D C7a �' d
�D
M�•y �..•� rn �. O CIS
C• O � �
H..
9,
H.
N`
S
s. 4 # ?s Y= k``a.k f' t w, # rz, 'Y r r „;_ t ��-,�,,�'`,,_""
11, ��,:-,;"-'',',,'I�',�,�'.""�.,��""I'�"Il-'��I--11 ��,",, ,,:-I :�- e / .. d 2 "��,".,,:,- ,�,_-,�,-,��,!�,,'A, �" -,� �,` � � ���1� , �," �� ,
�, �',-I �� , - --, ,�,�,�', ,��'4,:C �1,�,,,"��, ,:1 ���',:�-, ", ,I - ,�,, , - , �,:, ��', � 3: I "O � , -`,,i ��,i,��,-,.,:'�"?,��;_-":" 1� ,e',�`._: ,:�"
� � , - I ,z,,"
s
I I I I , -� , # r �.. -
s Los. I U."
- I I I I I I I I � , , ,, : �� � , : : � : -� ': : , , ,�
I __ , 1, I I I I - I � I � �, �,:,�:',� � � I I ,_ d
W,an
, ���',
. I ��, " � I I I � :. , . I � I I : , -1 1, I - . �I W-,,0 _,�Al� MR,0. 9 IN',�1,��,��
, "" ,_- 01 v�:,
� �n "I I
- , ` , '"' "' ,
I i�,
�-,�,A,,;��;,
�I � ����i� ,:','�n`, , �1'1
, _',��i` , ,! ,
I , , ,
I I I I :�,,�,: :,� �_�_,,',`,_,::",-�-,-- -
- , , ,,, - , R
" �
u, ,I , , !I--,, 1:11
� I I I � I I , - ,_W_"AR�&161- � ,
,-
I . �,, 41 I-� I I I I I I ,"I IA -�I'W"
kk,i,
I � I I I I I � � � _�� � ': . 00imp, " _
I �,I , �,,,�� - ,,,,"I'll,1, -, -...- �111
I -- �,-k T,Ik�-A, ��!,
I I �:, I I ",,----- ��!,
� : , -'��!,- ,
-,
I I I I I � � I� , .�,,_-'t'i'N ��!"' , �"�__
- ,"': " ,��, -N -i,`:�-P',�-'Z�2"" -:-'6`,,,`_�,i,-o _gg",,-�Z&>, yn, � ,� I :,_�:�',: I I , � _� � �,
' y: � e- � e." ��
1,
1 1 ,I , I I "- ,, ,� -
,� ,;
, �,��.":,, �g W NZ
, : I , � � � I I I I I I � ,� , , I 1. `, �C '�,""t"-,k,�-��
�kl-�,`,'��...I I I I I I � ,�� ", - 1— I � � �_,,�11I, I �,A
� - 5��'_"'_;`, ,,"Z,T ,�_'_,, ':
I I "" ,� ,�� , � I �. . I - , I, ,- ,, " - � :— CA A I'll ��_
I ''� I � I " �.'�_,- I ." -1-,_,�,��,�,,,'.
I �'i"��,_ " , �,"�`
� 1, . ,�'' `!_1 "', "
1, 11 - -
I , - __ - -ow"Wh Wo
�:,:� " , ," "I -,,I t s �e"`°°"" c"I
I 1 I�,,, "I'' �"_ :� I ..11 I I ": _:,��,�'��101 hit, �saa
-, - '' �_, , ,
- , ,
- " "'- ,-, I
,- ......�_,��,"�,�"k� , , � � ........ ,-,-j� "
- � "4 �, �� ": , , - " �,� �"� -�Pl ,_ I -
I , _-_ �� � ,1� � " , ,,,,1�'
1, � , - - :,�,�
- I � I , , --,_,�,_.-�,,�- --- __ ,�_'�,;,,�1�11. "'� ` 1-1- "I- � , e , ��',,1141011 I,6"..I,- I -P-l"It.... I,
I I � I q�, 1�'K �1 "'
I I � I I 11-14 ,,, ,p�,�',� 'M ,-,�,,,,`�,,�,,-,-"-_-.,
, ,", "'-1 1,I ,-,"" , .-Z,��,, - �,,, �Ili
, , _ �_, 111""j"_ ", ,,
"j",
"j", ,
, - I - �01" i""',�,�J�, - ;-,01�,-�Z �
, 11'1111,��,�, .
�,
,�,�,'�,��,�,,�,,�,,,�-�'�,��"�, X-11
Q,zz 'i �'
,-�_t",-,,
�W,.;,,��"�21,_ - ],,,�,
't,,� �,_ � 1, Sol
� , �� _ ,. ,, �` � "
"-"",- , ,'_ ,
k1" "", - -
- , - � !-�w5i';"", " ,
� , , - � 1�'�'1'1'11,1';")'15_"', .'- ��'�,;`,�� � ,�.'-,i
" " " �.". ,�p,� ',g p A,T" ,i, ,,
- , , 1, ,q
:, , ,. � a��A ��pgj!Nz, -,
�_,,I
-_,.... ..� , ,,� ", ,
I RR��-5_� _�, ,
I , � '' � � !�4 T 111051 '� _��p�l ,,�"t��7 11R,", � ',,_�� - ,� U -," "
� ", , ', ',_
- -,,,,, , I , too I _i`� S,, , , � , -
, ,,, . �� I , ' ' _ 3�;���,,� -
7 �J�, '1111,11��� � I
� -, � I f,,� � "VA 0 t �g� � -� _:��_,I�- , , - - �,� , , _'_,��, ,- , --,`,�o `��, ,,,, ,��,xs �: aY s1 �"ty t s _ - �
, ,,� ....
.......
- �:��-_i�6�,""`,'��,-`,,, �," 1��,'o-_,�-: ��,,��:��,, �,:���"_��:�, - , - , - I I- -- � ,�_-��,�,-,-,�,
, , I- ,_- ,- : ." -,: � , ': , : � ,�� 1,, , " '4� � --,,�,� : : , � - � ,�, � I" I , 1 -1- I __",,,�;',�,�A,,,�, ,J"'T, 4", ,i ,'�_"I -1. -� ' '�',, - ,�,-"," ,�111 of ` �r ,1�1 ,_,�,�o�,,z ,, ,,,
" -
"",-In,N�1,2,1
�, , �,���,",�",--,:��.,��,,�,-�,,��""L'� --",�,,n',�i.,�-,,,,�,`0 so 4--" Z,-M.mv�,I 11 I ��� , I ; , al"WZY11w= " A .— - .T�- " " ,�l 4 « , -
- , , ", � _�: ,�� ���'��'�""'---,�'�-,,,--��,,�,-,��,�,,�,0,V�,,_�,��`,',"��,',,,',-,�, , , � �'Ivl�,,��I , ,, �,�, I Y�l - '-,',�,'���,X��,� �� W�,��,1'111A, , :,��',,!j,��j, � ",� � ,;",�, ,� �� , ,�I �:�_, �,_ �,_,_",�"t':,:, "; , �- ,,-, -1 - - � , '-
w'L, - j-,�,-,I , � _ - I , ` ,
1 Y„� R { ,
- I � , --I I I I - 1�',�:_ :_1 :" ,' ',� �
__,
' q
•.^' �' ,,,,. ,.q'°,„-,n;a ,,. ,�_� �, ,- ,x
11.�. n ,< .x.. r.. A r, _., k m
{t, ';y`Y rx y
_.
a .
x�x '� Y �.
' � b '
'� �„ S u 5 c
h
t > a �`
� 5 P�
�` rF * 5 A ✓ +fit { 'Y �` '� ,
# i Y' % 5 R Tr d'
t.�v.+ L �{/ 3g F
""$ x r
. x f r ay '¢s ? } a
',F,�,"r w,� ", � { 't ..d e is ffli�t-_ a °' a
� �� .r np, s.'s d - `'go
1.yr ' � t 4 a �� �§ e O � "` -w` '�
x
r *.. '� ' , t x w its � �' ,Y' } !'}`�`az d' - Y} s 1 RA- z d, r � e t
x'
rT �,- r x
r t +`= wxY
iY w 1 9 4 try
A n
1 4F
� 11 , : ,� ','�_,:__1`�,',�,"�,"I�'_,''O�t;toolfio ,""",,',,x,
ti{� TY _Q:. _.
,,,#
4
r
Ny
t k in
h
I xy d
- IRA,01
s Np
W y
r , � # :.
: � ¢
Yt
t *,1` n
I I "��':! , 01000.�; 'I,�11,�: , , 11 I " - � , ,_ ,:,!, , ,�- x r
l3:
t S? `�` `MZ ry`
4yrE fj^
L Y- * l ,
M" -�, ,,",�,�:��,�,_� _�, , - �'i_,_,��-'_,, -�,�::�-�-�, .',:,�:�-:,�_ � �:, —� — ""�_� r.... .I...."I
S h' 3 4 ..A
0 Igor
AX Iv,
CL
40
'"' ,' •
v AA
try "
" . W Q `
i
to
W, .
es'
folk
t2l -rr - I v*
. . lips".
104 004 Nod
a
�. .
N Pr C3.. C.
moo ft
0,
j ! tab "
v to
too
SA
e ;
'd
t