HomeMy WebLinkAbout26F Oct 20264
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
South Yarmoulh Date. 10/01/2026
$a>.{n,.1-E 6t&>€
\6r,.')oJ \l-
o7*V.,rrrr""r""-Ur/a.//am.lrr*m
ff,t1J t.'%.,,(/.r*n tl
FP{07C
(Rev. 1.1.2015)
City or Town
a
Application is hereby made for inspeclion oI smoke detectors and carbon monoxide alarms as required by
Massachusettrs General Law, Chapter 148, Sedions 26F,26F112 and 527 C[,lR 1:00 Section 13.7.
NOTE: SUBMIT APPLICATION TO LOCAL FIRE OEPARTMENT HEADOUARTERS
Location of Property 15 Conmercal Streel
Owner of Property James Wyeth
Number of Dwelling Llnits Signature of Applicant
lnspection/Testing completed on 1010112026 By
Fee: (M.G.L. Chapter'148 Sec. 10A)s50 00
Nolo: Any certiticate issued in accordance with provisions of M.G.L. Chapter 148, Sections 26F, 26F112 expires sixty (60)
days afler issuance by head ofthe Fire Depadment.
FIRE DEPARTMENT'S COPY
J-
1
Fire Chief