HomeMy WebLinkAboutfire and safety inspection 2020I{r0
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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 SOUTH YARMOUTH fl wEsr YARMOUTH
n OWNER E MANAGER n TENANT orHER (explain):
DATE TIME PHONE:
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.
Copy Received By:
days. Failure to do
Original - Owner / Tenant Yellow Copy - Fire Department FBP 99.1
8E r0 ll't,^t^l 3l
E YARMOUTHPORT
NAME: &*,R,r"'-. L*f,rr CHtrcN
NAME:
OWNER5 MAILING ADDRESS:
Signed: ' i_..,_Title: