HomeMy WebLinkAbout26F 2026e\c%n
ffry
V"*-r"..*r./.tl,r/a//**.1rran
/.-kr"" ol '.1/"
A(fl
FP.007C
(Rev. 1.1.2015)
a Return completed applicalion to:
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER 148, SECTIONS 26F, 26F1N
City or Town South Yarmouth Date 09t04t2026
Application is hereby made for inspection of smoke detectors and carbon monoxide alarms as required by
l\4assachusetts General Law, Chapter'148, Sections 26F,26F'1/2 and 527 CMR 1:00 Section 13.7.
NOTE: SUBMIT APPLICATION TO LOCAL FIRE DEPARTMENT HEADQUARTERS
Location of Property 10 Old Colony Way
t
Owner of Property Michael and Laurie Karras
Number of Dwelling Units Signature of Applicant
By:
Fee: (lV.G.L. Chapter 148 Sec. 10A)$50.00 Fire Chief
l{ote: Any certificate issued in accordance with provisions of M.G.L. Chapter 148, Sections 26F, 26F1/2 expires sixty (60)
days alter issuance by head ofthe Fire Oepartment.
FIRE DEPARTMENT'S COPY
1
lnspection/Testing completed on:09t04t2026