HomeMy WebLinkAbout26F Sep 2026a7k Von,na?ou,ar/tl o/ o //o,lt r.l.,tnfro
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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
City or Town Yanhouthport Date:09124t2026
Appiication is hereby made for inspection of smoke d€tectors and carbon monoxide alarms as required by
Massachusetts General Law, Chapter 148, Sections 26F, 26F'1/2 and 527 CMR 1:00 Sectlon 13.7.
NoTE: sUBt{lT APPLICATIoN To LocAL FIRE OEPARTMENT HEADQUARTERS
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46 Rolte 64
Owner of Property E[zabeth Morlon Trusl
Srgnature of Applicant
lnspection/Testing completed on By
Fee: (M.G.L. Chapter 148 Sec. 'l0A)s50.00
Noto: Any cediticate issued in accordance with provisions of M.G.L. Chapter 148, Sections 26F, 26F12 expires sixty (60)
days after issuance by head of the Fire oepartment.
FIRE DEPARTMENT'S COPY
0912412026 IUN
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Location of Property
Numberof Dwelling Unils
Fire Chief _