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APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M,G.L. CHAPTER 148, SECTIONS 26F,26F112
09t2512426
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(R€v. 1.1.201s)
City or Town Yarmoulhport Date
Application is hereby made for inspeclion of smoke detectors and carbon monoxide alarms as required by
Massachusetts General Law, Chapter 148, Sec{ions 26F, 26F112 and 527 CMR 1:00 Section '13.7.
NOTE: SUBi{lT APPLICATION TO LOCAL FIRE OEPARTmENT HEADQUARTERS
Location of Property 1 I Elmcroft Way
Owner of Property Elaine Connolly
Number of Dwelling Units Signatu16 of Applicant
lnspection/Teslrng completed on 09t2512026 By:. r./6.
Feer (M.G.L. Chapter 148 Sec. 10A)s50.00 Fire Chief
Note: Any certificate issued in accordance with provisions of M.G.L. Chapter 148, Sections 26F, 26F112 6xpires sixty (60)
days afrer issuance by head of the Fire Depadment.
FIRE DEPARTIIENT'S COPY
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