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(Rev. 1.1.2015)
a Return compleled application lo:
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER 148, SECTIONS 26F,26F112
City or Town Yarmouthport Date. 1o/16/2026
Application is hereby made for inspeclion of smoke detectors and carbon monoxide alarms as required by
Massachusetts General Law, Chapter 148. Seclions 26F, 26F1l2 and 527 CMR 1:00 Sectlon '13.7.
NOTE: SUBITT|T APPLICATION TO LOCAL FIRE OEPART ENT HEADOUARTERS
4204 Heatherwood
Owner of Property Sean Sheehan
Number of Dwelling Units Signature of Applicant
lnspection/Testing completed oni 10116t2026 By:' vC'.-
Fire Chief
Notet Any certificate issued in accordance with provisions of M.G.L. Chapt€r 148, Sections 26F, 26F1l2 e)Aires sixty (60)
days after issuance by head of tie Fire Oepartment.
FIRE DEPARTMENT'S COPY
I
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Location of Property
Fee: (M.G.L. Chapter 148 Sec. l0A)s50.00