HomeMy WebLinkAbout26F Aug 20266.Vr*.r"*r,r.//rr/el//"u"-lrrtn
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a Retum completad application to:
APPLICATION FOR CERTIFICATE OF COMPLIANCT
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER .I48, SECTIONS 26F, 26F112
City or Town Yarmouthport oale. 08t28t2026
Application is hereby made for inspection of smoke detectors and carbon monoxide alarms as required by
l\,lassachusetts General Law, Chapter 148, Sections 26F, 26F112 and 527 CMR 1:00 Section 13.7.
NOTE: SUBlrlT APPLICATION TO LOCAL FIRE DEPARTMENT HEADQUARTERS
i
Location of Property 3226 heatherwood
Owner oI Property Robert Childers
Signature of Applicant
lnspection/Testing completed on o8t28t2026 By va*
{lnspector)
Fee: (M.G.L. Chapter 148 Sec. 10A)$50.00
Note: Any certificate issued in accordance with provisions of M.G.L. Chapter 148, Sections 26F, 26F1l2 expires sixty (60)
days aner issuance by head ofthe Fire Deparlment.
FIRE DEPARTMENT'S COPY
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(clkrnau/,
FP{07C
(Rev. 1.1.2015)
1Number of Dwelling Units
Fire Chief