HomeMy WebLinkAbout26F Oct 2026t 1/o , *r'rrtl
FP407C
(R6v. 1.1.2015)
t Return completEd application to:
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER 14E, SECTIONS 26F,26F1N
City or Town Yarmouthport Da](. 10t15n026
Application is hereby made for inspeclion of smoke detectors and carbon monoxide alams as required by
Massachusetts GeneEl Law, Chapter 148, Sec,tons 26F, 26F1l2 and 527 CMR 1:00 Section '13.7.
NoTE: suBillT APPLICATIoN To LocAL FIRE DEPARTf,ENT HEADQUARTERS
Location of Property 36 I'lelmsman Drive
Owner of Properly Ray Jenkins
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Numbor of Dwelling Units Signature ofApplicant
10115t2026 By:| \,/lr.-
Fee: (M.G.L. Chapte l4S Sec. 10A)
Nots: Any certificate issued in accordance with provisions of M-G.L. Chapter 148, Sections 26F. 26F12 expnes sixty (60)
days afler assuance by head oI the Fire Depadment.
FIRE DEPARTNENT'S COPY
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lnspection/Testing completed on:
$50.00 Fire chiet
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