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FP{07C
(Rev. 1.1.201s)
+ Return completed application toi
City or Town oate. 10121t2026
Application is hereby made for inspeclion ofsmoke detectors and carbon monoxide alarms as requked by
Massachusetts GeneralLaw, Chapter 148, Sections 26F,26F1l2 and 527 CMR 'l:00 Section 13.7.
NoTE: SUBMIT APPLICATIoN To LocAL FIRE oEPARTMENT HEADQUARTERS
Location of Property
Owler of Property Ennco Florio
Numb€r ol Dwelling tJnits Srgnature of Applicant
lnspection/Testing completed on 10r21t2026 By:
Fee: (M.G.L. Chapter 148 Sec. 10A)s50 00
a
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M,G.L, CHAPTER 148, SECTIONS 26F,26F112
45 Siena
1
Fire Chief_
Note: Any certificate issued in ac@rdance w'h provisions of M.G.L- Chspter 148. Sections 26F, 26F1l2 erpires sixty (60)
days after issuance by head of the Fire Department.
FIRE DEPARTIIENT'S COPY