HomeMy WebLinkAbout26F Oct 2026a\a7k Von,rrra"ru*a/il. "/ o.%r*.1"^n lA,
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FP{07C
(Rev. 1.1.2015)
a Return completed application to:
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER,I48, SECTIONS 26F, 26Fffi
City or Town Yarmouthport oate. 10/29/2026
Application is hereby made for inspection of smoke detectors and carbon monoxide alarms as required by
l\,,lassachusetts General Law, Chapter 148. Sections 26F. 26F112 and 527 CMR 1:00 Section 13.7.
NoTE: SUBMIT APPLICATIoN To LocAL FIRE DEPARTI{ENT HEADOUARTERS
Location of Property 81 Helmsman
Owner of Property
Number of Dwelling Units Signature of Applicant
lnspection/Testing completed on:10t2912026 By:
Feer (M.G.L. Chapte|l48 Sec. 10A)$50.00
Not6: Any certificate issued in accordance with provisions of M.G.L. Chapter 148, Sections 26F, 26F1l2 expnes sixty (60)
days af,er issuance by head of the Fire Department.
FIRE DEPARTMENT'S COPY
t
Knepper
Fhe Chief _