HomeMy WebLinkAbout26F Sep 2026-\a7kV"-,-r"*"*./rlr/o/,kuo.lrr.rtlt
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FP{07C
(Rev.'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,26F112
City or Town Yarmouthport Date 09124t2026
Application is hereby made for inspection ol smoke detectors and carbon monoxide alarms as requircd by
Massachusetts General Law, Chapter 148, Sectjons 26F, 26F112 and 527 CMR 1:00 Section 13.7.
NOTE: SUBillT APPLICATION TO LOCAL FIRE OEPARTMENT HEADAUARTERS
Location ot Property 771 W Yarmoulh Rd
Ownor of Property Skyler White
Number of Dwelling Units Signalure of Applicant
lnspection/Testrng completed on 09124t2026 8y:
Fee: (M.G.L. Chapter'148 Sec. 10A)5s0.00 Fire Chief
Nolet Any certilicate issued in ac@dance with provisions of M.G.L. Chapter 148. Sections 26F, 26F112 expires sixty (60)
days after issuance by head of the Fire Department.
FIRE DEPARTMENT'S COPY
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