HomeMy WebLinkAboutSmoke Co2 Compliance - Smoke/CO2 Compliance Permit - 32 ABBOTT STREET 9/20/2019 6/r
FP-007C Return completed application to:
(Rev,1.1.2015)
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER 148, SECTIONS 26F, 26F112
City or Town /V 0 r, A rl��0 Vef_ Date;Application is hereby made for inspection of smoke detectors and carbon monoxide alarms as required by
Massachusetts General Law,Chapter 148, Sections 26F,26FI/2 and 527 CIVIR 1:00 Section 13.7.
NOTE:SUBMIT APPLICATION TO LOCAL FIRE DEPARTMENT HEADQUARTERS
Location of Property 3'2 _A�0,u Phone #
Owner of Property 'T)-, 5 e.rY)� I P%
Number of Dwelling Units Signature of Applica nt
Inspection/Testing completed on: By:
7 Vu—_1
, ''P,
Fee: (M.G.L. Chapter 148 Sec. 10A) Fire Chief
Note:Any certificate issued in accordance with provisions of M.G.L.-Chapter 148,Sections 26F,26FI12 expires sixty(60)
days after issuance by head of the Fire Department.
FIRE DEPARTMENT'S COPY