HomeMy WebLinkAbout26F Sep 2026\afkVr-r,,r*"**r*1r/of/"*rrl"r*n
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FP{07C
(Rev. 1.1.2015)
a Return completed application lo:
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER 148, SECTIONS 26F, 26F1/2
City or Town South Yarmouth Dalr.. 09124t2026
Application is hereby made for inspection ol smoke detectors and carbon monoxide alarms as required by
Massachusetts General Law, Chapter 148, Sections 26F, 26F112 and 527 Ctr.4R '1 :OO Section 13.7.
NOTE: SUBMIT APPLICATION TO LOCAL FIRE DEPARTMENT HEADQUARTERS
f
Location of Property 105 Beacon Street
Owner of Property Joanne Sintiris
Number of Dwelling Units Signature of Applicant
09t24t2026
(lnspeclor)
Fee: (M.G.L. Chapter 148 Sec. 10A)$50.00 Fire Chief
Note: Any certificate issued in accordance with provisions of M.G.L. Chapter 148, Sections 26F,26F112 expires sixty (60)
days afler issuance by head o, the Fire Department.
FIRE DEPARTMENT'S COPY
'105
lnspection/Testing completed on:By: