HomeMy WebLinkAbout26F Oct 2026i-\a7k @.r-r*?ru,ra/tl "/ o.//an"lru.m Agr6,:ty r.%*".7
FPl)07C a Retum completed application to:
(Rev. 1.1.2015)
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER 148, SECTIONS 26F,26F112
City or Town South Yarmouth oa@. 10t08t2026
Application is hereby made for inspection of smoke detectors and carbon monoxide alams as required by
Massachusetts GeneEl Law, Chapter 148. Seclions 26F, 26F1l2 and 527 CMR '1i00 Section '13.7.
NOTE: suBMlT APPLIGATION TO LOCAL FIRE OEPARTMENT HEADQUARTERS
Location of Property 1 Bayberry
Owner of Property lannessa
Number of Dwelling Units Srgnature of Applicant
lnspection/Testing completed on:10t04t2026
Fee: (M.G.L. Chapter 148 Sec. 10A)Fire Chief
Note: Any certificate issued in accordance with provisions of M.G.L. Chapter 148, Sections 26F, 26F1l2 expires sixty (60)
days after issuance by head of the Fire Department.
FIRE DEPARTITIENT'S COPY
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By:
$50.00