HomeMy WebLinkAboutSmoke Co2 Compliance - Smoke/CO2 Compliance Permit - 132 ABBOTT STREET 9/20/2019 • � •� � C:1727 lUC'%T7r7?2G'��ZCG'BCGI.L%L G'��LL.G�`C7iGG�"
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-APPLICA-11CN FOR CFRTIRIC TE OF COMPLI:A lCr •
FOR SMOKE DETECTORS ;i�IL� CARROIN MONOXIDE AL MS
MLG.L. CHAPTER 148, SECTIGN a 26F, 26Fl/s
City or Tav,Tr �
Application'is hereby.madq,rar inspection of smoke detector- and carbon mono;cide alarms as required by Massachusetts
aneral La:w, Chanter 1 5,,Sections 26F, 26r'rz and 52i Ctvl R 51, et seq.
TICTE:SUE11TT APPLI•CATIGNTO LCD CAL FIRE DEPARTMENT F,EA_CGUA.RTERS
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Location or'Praperty )•�95
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Owner at,Praperhj CP per �� � 7 � "�
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Number df-DWelling Uniis Signature or Applicant - - ....w,.
Irnspectlan/Testing completed on: y
"� Chief
Fee: (NCG:L..Chapter'1��8 Sec. 1-CA) cFire '
Nate-Any'cedficate issued in acuordanca with provisions or M .L Chapter 143, Sections 26F, 26ri�e;cpires sii cty(66).
days attar isSidanc.e by head of the Fir' Department
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APPLICATION FOR CERTIFICATE OF COMPLIANCE
M.G.L. CHAPTER 148'1 SECTION 26F
City or Town �
"o Date.
Application is hereby made for inspection of smoke detectors as required by Massachusetts General Law,Chapter 148,
FtTMEPIT HEADQUARTERS
Section 26F.NOTE:sUB IT APPLICATION TO LOCAL FIRE DEPA
Location of Property
Owner of Property ' "° 71 2- "f
Number of Dwelling Units si ature of Applicant
d r�
r
InspecclionfTesting completed on. By,
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Fee:(M.G.L.Chapter 148 Sec. 1 QA) Fire Chief
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Plate=Any certificate issued in accordance with provisions of M:G.L Chapter 148,s-26F expires sixty(60)days after
issuance by heard of the Fire department_
FIRE DEPARTPAENrS COPY