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Dale. 09t25t2026
Application is hereby made for inspeclion of smoke detectors and carbon monoxide alarms as required by
Massachusetts General Law, Chapter 148. Sections 26F, 26F112 and 527 C[,lR 1:00 Section 13.7.
NOTE: SUBMIT APPLICATION TO LOCAL FIRE DEPARTMENT HEADQUARTERS
Localion ol Property
Owner of Property
Number of Dwelling Units Signature of Applicant
lnspection/Tesling completed on 0912512026 By:
Fee: (M.G.L. Chapter 148 Sec. 10A)$50.00 Fire Chief
Note: Any cedificate issued in accordance with provisions of M.G.L. Chapter 148. Sections 26F, 26F112 expires sixty (60)
days after issuance by head ot the Fire Department.
FIRE DEPARTIIENT'S COPY
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FP{07C
(Rev.1.1.2015)
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L, CHAPTER 148, SECTIONS 26F,26F112
crty or Town soulh Yarmouth
75 Mulford Street
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