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F l oor4 in Bld- .
Type- of Appliance:
New Wood Burnir..g
Used � Coal �
Labeled Combination
Date of purchase Furnace
Fireplace Insert
Model or Type of Appliance
Manufacturer
Purchased From
Address)
Cost - Construction & Appliance: /0 C)
Chimney New Metal Bestos
Existing Interior Chimney
Separate Flue: _ Exterior Chimney
Other appliance attached to flue
Masonary/lined °
Unlined
Notes & Data:
Signature of Applicants ,�
Building Inspector Approvdl;
Dates les� C7�
i a
DEPT. OF BUILDING INSPECTIONS BUILDING D°
212 Main Street 04
Northampton, MA 01060 PERMIT
35 - 189 VALIDATION
DATE December 17, 19 85 PERMIT NO. 720
APPLICANT John L. Lyons ADDRESS 51 Sylvester Road Owner
(NO.) (STREET) (CONTR'S LICENSE)
Wood Burnie St2vq O Family NUMBER OF
PERMIT TO Y One amy_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
51 Sylvester Road ZONING T 9R
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for the installation of a wood burning stove
VOLUME ESTIMATED COST $ ,00.00 FEE MIT $ ,0.00
(CUBIC/SQUARE FEET)
Same as Applicant
OWNER ame as Applicant's BBYILDW
ADDRESS
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p'INT P