HomeMy WebLinkAbout26F Sep 2026V"*-*r**-U. "/ a,//rrr*1r*,n
t//orrrn t/,
FP-007C
(Rev. 1.1.2015)
a Return completed application to
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS ANO CARBON MONOXIDE ALARMS
M.G.L. CHAPTER,l48, SECTION S 26F, 26F 112
South Yarmouth Date.09/03/2026
Application is hereby made for inspection of smoke detectors and carbon monoxide alarms as required by
i/'lassachusetts General Law, Chapter 148, Sections 26F, 26F112 and 527 CMR 1:00 Section 13.7.
NOTE: SUBMIT APPLICATION TO LOCAL FIRE OEPARTMENT HEAOQUARTERS
A
ll
Location of Property 5 Evergreen Street
Owner of Property Sophie Blakemore
Number of Dwelling Units Signature of Applicant
09103t2026 By:
Fee: (M.G.L. Chapler 148 Sec. 10A)$50.00 Fire Chief
Not6: Any certillcate issued in accordance with prcvisions of M.G.L. Chapter 148, Sections 26F, 26F'!/2 expires sixty (60)
days after issuance by head of the Fire Department.
FIRE DEPARTIIIENT'S COPY
City or Town
T
lnspection/Testing completed on: