Cambridge
To the saperintened hereby anplies for a permit to
190
REMARKS
according to the foliowing specifications
Location of Building No.
Name of Owner (when located)
Name of Mechanic,
Name of Occupant,
For what purpose is the building oecupied P
Date
INSPECTIONS
BCILER OR ENGINE
Inspector's name
f horse power, each.
Weight ol engines, each
No
engines.
Size of engines, each.
No.
Ward
No.
Street
Location
No. ol boilers
cn
Weight of hoilers, each
I have examined the premises and recommend the
of a permit
each,
1s the boiler horizontal, upright, sectional or tubular P
Cost
Completed
In what part of the building are they to be placed P
For what purpose are they to be used P
Permit Granted
he boiter rests?
Kind of Apparatus
what will be the size of the air space above ?
Copies of Advertisements found in
What will be the thickness of brlck work of chimney flue P
Ot what material will the boiler room be constructedi
Of what ma'erial win
I have duly posted on the premises a copy of the application and delivered
S a
RNACE METAL EURNACE, OVEN BANGE, ETC
copies thereof to
Dia.
Cambridge.
in accordance with the Building Ordinance of the City
Dimensions.
For what purpose is it to be used P
In what part of the building is it to be built:
Height,
Length
Width
Signature
A. D.
Subseribed and sworn to before me this
day of
s it to L be tbe thick ness ot masonry under it P
Justice of Peace.
REMARKS
What will be the size of the air space above?
What will be the thickness of the brick-work ot chimney-tiue ?
Signature of applicant
and below?
