HomeMy WebLinkAbout26F Oct 2026.}--\a7l" V*rr*""r*"rU "/ o//"*rr"l^n
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FP{07C
(Rev.'1.1.20r5)
a Return completed application to:
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER 148, SECTIONS 26F,26F1N
City or lown Souih Yarmouth oato.. 1012912026
Application is hereby made for inspection ofsmoke detectors and carbon monoxide alarms as required by
Massachusetts General Law, Chapter 148, Sections 26F, 26F1l2 and 527 CMR 'l:00 Secton 13.7.
NoTE: SUBMIT APPLICATIOiI TO LOCAL FIRE DEPARTmENT HEADaUARTERS
Location of Property 39 Phyllis Or
Owner of Property Sheila Fanelly
Number of Dwelling Units Signature of Applicanl
lnspection/Testing completed on 10t2912026 By:
Feer (M.G.L Chapter 148 Sec. 10A)s50 00
Note: Any c€rtificate issued in accordance with provisions of M.G.L. Chapter '148, Sections 26F, 26F1l2 expires sixty (60)
days after issuance by head ofthe Fire Department.
FIRE OEPART]IIENT'S COPY
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