HomeMy WebLinkAbout26F Oct 2026a\a7kV"*-*rr""r/ilr/a//,rr,w.1rrrm
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FP{07C
(Rev. 1.1.2015)
a Retum completed application to:
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 oab 10123t2026
Application is hereby made for inspeclion of smoke detectors and carbon monoxide alarms as required by
lvlassachusetts General Law, Chapter 148, Sections 26F, 26F112 and 527 CMR 1:00 Section 13.7.
NOTE: SUBirlT APPLICATION TO LOCAL FIRE DEPARTITiENT HEADQUARTERS
Location of Property 85 Keel Cape Dr
Owner of Property Richard Browne
a
Number of Dwelling unils Sighature of Applicant
lnspection/Testing completed on 1012312026 8y 0q_
Fee: (M.G.L. Chapter 148 Sec. 10A)s50.00
NolG: Any cedilicate issued in ac@rdance with provisions of M.G.L. Chapter 148, Sections 26F, 26F112 expires sixty (60)
days after issuance by head of the Fire Department.
FIRE DEPART]IIENT'S COPYr
Fire chief
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