HomeMy WebLinkAboutCompliance Permit - Smoke/CO2 Compliance Permit - 197 ABBOTT STREET 8/7/2018 �Q,00pC � ,,, �9�e#urn comp�s';ed application Qo; �%' .
(Rev,1.1,2015)
APPLICATION FOR CEWTIFIWt OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.U. CHAPTER 149, SECTIONS 26F, 25FI12
City or Town - ���i. U _pate: t
Application is hereby made for inspection of smoke detectors and carbon rnonoxlde alarms as required by
Massachusetts General Law,Chapter 148,Sections 26F,26i'1/2 and 527 CMR 1,00 Section 13.7,
NOTE:SUBMIT APPLICATION TO LOCAL FIRE I)EPAR"Fi4 ENT HEADQUARTERS
Location of Property TELEPHONE #
'Ow,ner of Property
Number of Dwelling Units 5ignst•.►re of Appllcant
Inspectionaesting completed on. Who Ile By:
Fee:(M.G.L.Chapter 14B Sao. IDA) _ Fire Chief
Note-,Any aertlfIcate issued in accordance with provisions ofM,G,L.Chapter 148,Sections 26F,26FI/2 expires sixty(60)
days after Issuance by head of the Fire Department,
FIRS" DEPARTMENT'S COPY
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