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YARMOUTH FIRE DEPARTMENT
96 OLD MAIN STREET
SOUTH YARMOUTH, MA 02664
PH.: 508-398-2212 / F AX:508-760-4861
FIRE AND SAFETY INSPECTION REPORT
ADDRESS OF INSPECTION:
E YARMoUTH PoRT
NAME:
TIME:
PHONE
An inspection of the above captioned property was conducted by the undersigned during which the following
fire or safety deficiencies (D) or violations (v) were observed and noted for correction:
You are hereby ordered to abate or correct the deficiencies or violations within
so may result in civil and / or criminal complaints being filed.
Signed
Copy Received By
days. Failure to do
Original - Owner / T€nant Yellow Copy - Fire Depanm€nt
Title
FBP 99-]
Dt7
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n souTH YARMOUTH fl wEsr YARMoUTH
I OWNER E MANAGER fl TENANT OTHER(exptain):
DATE:PHONE:
NAME:
OWNERS MAILING ADDRESS: