HomeMy WebLinkAbout26F Sep 2026,A cflo Vo-ro,o f o,/.Lruo.l""tnm A(gl'n //n rtttt,ttl
FP{07C
(Rev.'1.1.2015)
t Return completed application to:
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER,I48, SECTIONS 26F, 26F112
City or Town Yarmouthport Date 09/10/2026
Application is hereby made for inspection of smoke deteclors and carbon monoxide alarms as required by
Ivlassachuselts General Law, Chapter 148, Seclions 26F, 26F1l2 and 527 CMR 1:00 Sect6n 13.7.
NoTE: SUBMIT APPLICATION TO LOCAL FIRE DEPARTilIENT HEADQUARTERS
Owner of Property Howard Zwicker
Number of Owelling Units Signature of Applicant
0911012026 By:
Fee: (M.G.L Chapter 148 Sec. 10A)s50.00 Fire Chief
ilote: Any certificate issued in ac@rdance with provisions of M.G.L. Chapter 148, Sections 26F. 26F12 expires sixty (60)
days after issuance by head of the Fire Department.
FIRE DEPARTMENT'S COPY
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Location of Property 63 While Rock Road
lnspection/Testing completed on: