HomeMy WebLinkAbout26F Oct 2026i.*-\a7*V*r,-r*r*,"rlA"/o/kur"f ,um
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a Retum completed applicalion to:
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER 148, SECTIONS 26F,26F112
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City or Town Yannouthport oa?. 10t02J2026
Application is hereby made lor inspecton of smok€ detectors and carbon monoxide alarms as required by
Massachusettrs General Law, Chapter 148. Seclions 26F, 26F112 and 527 CMR 1:00 Secton 13.7.
NOTE: SUBMIT APPLICATIOIiI TO LOCAL FIRE DEPARTmENT HEADQUARTERS
Location of Property 17 Clinlon Dr
Owner of Property lrene Simon
Number of Dwelling Units Signature of Applicant
lnspection/Testing completed on 10102t2026 By
Fee: (M.G.L. Chapter 148 Sec. 'l0A)$50.00
NotG: Any cedificate issued in accordance with provisions of M.G.L. Chapter 148, Sections 26F, 26F1l2 exphes sixty (60)
days after issuance by head of the Fire Oepadment.
FIRE DEPARTiIENT'S COPY
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FP{07C
(Rev. 1.1.2015)
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Fire Chief