HomeMy WebLinkAbout26F Oct 2026a\c7k Vo., r" o rurnol.d. "/ o y'ka*. lr^rc ra A
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FP{07C
(Rev. 1.1.201s)
a Relurn completed application to:
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER,I48, SECTIONS 26F, 26F112
City or Town West Yarmouth Date. 1o/16/2026
Application is hereby made for inspeclion ofsmoke detectors and carbon monoxide alarms as required by
l\Iassachusetts General Law, Chapter 148, Sections 26F, 26F1l2 and 527 CMR 1r00 Section '! 3.7.
NOTE: SUBMIT APPLIGATION TO LOCAL FIRE OEPARTmENT HEADQUARTERS
Location of Property 3 McNamara
Owner of Property Daniel Wagner
Numberof Dwelling Units Siqnature of Applicant
lnspection/Testing completed on:14t16t2026 l,t^-
Fee: (M.G.L Chapter 148 Sec. 10A)$50.00
Note: Any certificate issued in accordance with provisions of M.G.L. Chapter 148. Sections 26F, 26F1l2 expires sixty (60)
days afler issuance by head ofthe Fire Department.
FIRE DEPARTMENT'S COPY
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By:
Fire Chief _