HomeMy WebLinkAboutSmoke Co2 Compliance - Smoke/CO2 Compliance Permit - 56 ABBOTT STREET 9/20/2019 L
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PP-007C f Return completed aPilkaftn to;
(Rev.1,1.2015)
APPLICATION FOR GERTIFICA7E, OF COMPUANCE
FOR SMOKE DETECTORS AND CARBON MOMOXIDE ALARMS
M.G.L. CHAPTER 148, SECTIONS 261`� 26F112
City or Town
��1- --- Date:1�
Application is hereby made for inspection of smoke detectors and carbon monoxide alarms as required by
Massachusetts General Law,Chapter 148,Sections 26F,26f71/2 and 527 CMR 1:00 Section 13.7,
NOTE.SUBMIT APPLICATION TO LOCAL FIRE DEPAR75QENT LIEADQUARTERS
Location of Property
Owner of Property
Number of Dwelling Units Signet-ire of Applicant
Inspection/Testing completed on: BY:
(I Pe
Fee:(KG.L.Chapter 148 See. 1 OA) Fire Chief
Note:Any certificate issued In accordance with provisions of M.G.L. Chapter 148,Sections 26F,26FI/2 expires sixty(60)
days after Issuance by head of the Fire Department,
FIRE DEPARTMENT's COPY
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