HomeMy WebLinkAbout26F Oct 2026Vrty /eflo,,t //atttntt/t
FP{07C
(Rev. 1.t.2015)
i 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 Toffr oale. 10t23t2026
Application is hereby made for inspection of smoke detectors and carbon monoxide alarms as required by
Massachusetts General Law, Chapter148, Seclions 26F, 26F1l2 and 527 ClvlR 'l:00 Section 13.7.
NOTE: SUBMIT APPLICATION TO LOCAL FIRE DEPARTI{EI{T HEADOUARTERS
Location of Property 21 Kens Way
Owner of Property
Number of Dwelling Units 2 Signature of Applicant
lnspection/Testing completed on 10t23t2026 By
Fee: (M.G.L. Chapter 148 Sec. 10A)s50 00
Nolei Any cedificate issued in accodance with provisions of M.G.L. Chapter 148. Sections 26F, 26F'12 e)Aires sixty (60)
days after issuance by head of the Fire Department.
FIRE DEPARTIIENT'S COPY
a7k ,/arlkrr".fnr"frl AgI
:
DonnaRice
Fire chief
-