HomeMy WebLinkAboutSmoke Co2 Compliance - Smoke/CO2 Compliance Permit - 122 ABBOTT STREET 9/19/2019 ' `✓y'"rr� a�'.a2�?'Gt7!A?�G�1�.d2i�� ���'���te1���2t.�iJk
PP7C 0 Return completed appilcation to:
(Rev,1.1201 a)
APPLICATION FOR dERTIFICATE OF COMPLIANCE
FQF SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER 14.8,.SECTIONS 26P, 26F112
City or Town
Date:
Application Is hereby made f6?Inspection of smoke detectors and carbon monoxide alarms as required by
Massachusetts General LaW,Chapter 148, Sections 28F,261 J/2 and 527 OMR 1;00 Section 13.7.
A NOTE;SUBMIT APPLICATION TO LOCAL P)RE DEPARTMENT HEADQUARTERs
Location of Property GCS
PHONE # °"7 VC°'l
Owner of Property L
inv�41
Number of Dwelling Units Signature of Applicant '
Inspection/Testing completed on; By: —
(Insp®ol
Fear(M.G.L.Chapter 148 Sea. 10A) Fire Chief
Dote;Any certificate issued In accordance with provisions of M.O,L.Chapter 148,Se
ctichs 26F,26F1/2 expires sixty(80)
days after issuance by head of the Fire Department,
FIRE DEPARTMENT'S COPY