HomeMy WebLinkAbout26F Oct 2026\Vi*-r***"h/ r/ e,//",,*rl**me
W,tyt&*,,"Yarmouth
a Return completed application to:Yarmouth aFP{07C
(Rev.6/23)
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER 148, SECTIONS 26F,26F112
Yarmouth Date 10t09t2026
Application is hereby made for inspeclion of smoke detectors and carbon monoxide alarms as required by
Massachusetts General Law, Chapter 148, Sections 26F,26F1nand 527 CMR 1:00 Section 13.7.
NOTE: SUBMIT APPLICATION TO LOCAL FIRE DEPART IENT HEADQUARTERS
PLEASE NOTE THAT ONLY APPLICATIONS IflITH ORIGINAL y{ET SGNATURES WILL AE ACCEPTEO, PHOTOCOPIES OF APPLICATIONS WLL NOT AE PROCESSEO
Location of Property 125 Sullvan Road
Owner of Property Dole, Hegarty, Kellogg
1Number of Dwelling Units Signature of Applicant
lnspection/Testang completed on 10t09t2026 By Lt. Oliva
$s0.00
(lnspeclor)
Fire chief Enrique Arrascue
Note: Any certificate issued in accordance with provisions of M.G.L. Chapter 148, Sedions 26F, 26F'l12 expires sixty (60)
days after issuance by head of the Fire Oeparlment.
FIRE DEPARTi'ENT'S COPYr
City or Town
Fee: (M.G.L. Chapter 148 Sec. l0A)