HomeMy WebLinkAbout26F Sep 2026a\€k Vrrr-*n r*"tl r/od/u,n l,rcm
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(R6v. 1.1.2015)
a Return completed application to:
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER 148, SECTIONS 26F,26F1N
Dale.. 0912512026
Application is hereby made for inspeclion of smoke detectors and carbon monoxide alarms as required by
I\,,lassachusetts General Law, Chapt€r '148, Sectrons 26F, 26F112 and 527 C[,lR 1:00 Section 13.7.
NOTE: SUBMIT APPLICATION TO LOCAL FIRE OEPARTMENT HEAOQUARTERS
Location of Property 1118 Heatherwood
George Duffy
Number of Dwelling Units Signature of Applicant
lnspeclion/Testing completed on 09t2512026 By iw
Fee: (M.G.L. Chapter 148 Sec. 10A)Fte Chief
a
C y or Town Ya'rnouthPort
Owner of Property
1
$50.00
Note: Any certificate issued in accordance with provisions of M.G.L. Chapte||48, Sections 26F, 26F112 expires sixty (60)
days afler issuanc€ by head of lhe Fire Department.
FIRE DEPARTIIIENT'S COPY