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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 I48, SECTIONS 26F,26F112
C ty or Town Yarmoulh port Date 10101t2026
Application is hereby made for inspeclion of smoke detecloB and ca6on monoxide alarms as requi.ed by
Massachusetls General Law, Chapter 148, Sectons 26F, 26F112 and 527 CMR 1t00 Sectlon 13.7.
NOTE: SUBMIT APPLICATION TO LOCAL FIRE DEPARTMENT HEADOUARTERS
Loc€tion of Property 13 John Hall
Owner of Property James and Mariann6 Crowley
Number of Dwelling Units Signature ofAppli
lnspection/Testing completed on 10to1t2026 By IV,\
$50.00
Noto: Any certilic€te issued in accordance with provisions of M-G.L. Chapte||48. Sections 26F, 26F'l12 expires sixty (60)
days after issuance by head of the Fire Department.
FIRE DEPARTMENT'S COPY
ta Retum conpleted application to:
Fee: (M.G.L Chapter 148 Sec. 10A)Fire Chiel