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FP407C
(Rev. 1.1.2015)
a Retum 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 Soulh Yannouth - 10t1512026UAIEJ
Applicalion is hereby made for inspection of smoke detectors and carbon monoxide alarms as required by
I\,,lassachusetls General Law, Chapter 148, Sections 26F, 26F112 and 527 CMR 1:00 Section 13.7.
NOTE: SUBMIT APPLICATION TO LOCAL FIRE DEPARTT{ENT HEADQUARTERS
Location of Property 30 Studley
Owner of Property Estate of llka Vandever
a
Number of Dwelling Units Signature of Applicant
lnspection/Testing completed on:10t1512026 By:
s50.00 Fire Chief
Note: Any certificate issued in accordan@ with provisions of M.G.L. Chapt€r '148, Sections 26F, 26F1l2 expires sixty (60)
days after issuance by head of the Fire Department.
FIRE DEPARTI'ENT'S COPYj-
Fee: (M.G.L Chapter 148 Sec. 10A)