HomeMy WebLinkAbout26F Sep 2026aq. V)*-*r.*./il. r/ e //-*"./-*,rt A(g'V,'/y /.-1,,n,tiy',r,n,,rl
a Return completed application to:
City or Town Yarmouthport Date 09103t2026
Application is hereby made for inspection of smoke detectors and carbon monoxide alarms as required by
Massachusetts General Law, Chapter'148. Sections 26F,26F1l2 and 527 CMR 1:00 Section 13.7.
NoTE: SUBMIT APPLICATION TO LOCAL FIRE DEPARTMENT HEADQUARTERS
Location of Property 42 Oak Glen (Kanqs Way)
t
Owner of Property
Number of Dwelling Units Signature of Applicant
lnspection/Testing completed on 09t0312026 Byl
Fee: (M.G.L. Chapter 148 Sec. 10A)$50.00 Fire Chief
Note: Any certillcate issued in accordance with provisions of ir.G.L. Chapter 148, Sections 26F,26F112 expies sixty (60)
days after issuance by head of the Fire Oepartment.
FIRE DEPARTMENT'S COPY
l/tL-
FP{07C
(Rev. 1.1.2015)
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER 148, SECTIONS 26F, 26F1/2
Suzanne Scallion
1