No
Ward
LOCATION, owNERSHIP AND DETAIL MUST BE COMPLETE AND LEGIBLE.
Application fora Permit to Build Ovens, Furnaces, Ranges, etc.
and to Set Steam Boilers, Engines, Dynamos, etc.,
Cambridge,
19
To the Superintendent of Public Buildings:-
The undersigned applies for a permit to
Street
Location of Building,
Name of Owner (when located)
Mechanic
"Occupant
For what purpose is the building occupied?
Boiler or Engine:
No.
horse power, each?
No. of engines?
Weight of engines, each?
Size of engines, each?
Number of boilers?
No.
f horse power, each?
Weight of boilers, each?
Size of boilers, each?
Is the boiler horizontal, upright, sectional or tubular?
In what part of the building are they to be placed?
For what purpose are they to be used?
The material of flooring upon which the boiler rests?
What will be the size of the air space above?
What will be the thickness of brick-work of chimney flue?
Of what material will the boiler-room be constructed?
Of what material will doors and shutters of boiler-room be made?
Note -
Dynamo, Hot-air Furnace, Metal Furnace, Oven Range, etc.
Width,
Height,
Dia.
Dimensions.
Length,
For what purpose is it to be used?
In what part of the building is it to be built?
Is it to rest upon any floorings?,
If so, what will be the thickness of masonry under it?
and helow ?
What will be the size of the air space above?
What will be the thickness of the brick-work of chimney flue?
Remarks,
(NAME
(ADDRESSY
NOTICE.-Separate Application for each Building.
