HomeMy WebLinkAbout26F Oct 2026a\oTkVo-,,**r**o./til."/o//""nlrun
V;rv /.uZur,r, r,('/,,*n,,rl
FP{07C
(Rov.1.1.2015)
a Retum completed applicalion lo:
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER 148, SECTIONS 26F,26F1N
City or Town oale 10123t2026
Application is hereby made for inspeclion ofsmoke detectors and carbon monoxide alarms as required by
Massachusettrs GeneEl Law, Chapter 148. Sections 26F, 26F'l/2 and 527 CMR 1:00 Section 13.7.
NOTE: SUBillT APPLICATIoN To LocAL FIRE DEPARTMENT HEADOUARTERS
Location of Property 64 Rainbow Rd
Owner of Property MichaelDaSilva
a
NLrmber of Dwelling Unils Signalure of Applicant
lnspection/Testing completed on 10t2312026 By:v4-
s50.00
l{ote: Any certificate issued in accordance with provisions of M.G.L. Chapter 148, Sections 26F, 26Fil2 expires sixty (60)
days after issuance by head of the Fire Department.
FIRE DEPARTMENT'S COPY
1
Fee: (M.G.L. Chapter 148 Sec. 10A)Fire Chief _