HomeMy WebLinkAboutCompliance Permit - Smoke/CO2 Compliance Permit - 200 ABBOTT STREET 7/8/2016 00
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(Ray.1.1.2D16)
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G1. CHAPTER 14.8, SECTIONS 26F,26F112
Cfty or Town /v o 4`t-4r" / 21 / /�
bate:
Application is hereby made for inspectlon of smoke detectors and carbon monoxide alarms as required by
Massachusefts General Law,Chapfer 148,Gecticns 26Fr 26�1)2 and 627 CMR 9:DD SeoBan IV.
NOTE:SUBMITAPPLtCAT[ON To LOCAL FIRE DEPARTM514T HgADQUARTFRS
Location of Property— - CJC�
O PROVE � 97
Owner of Property l;J U
Number of dwelling Unite _ 4 8lgnature of Applicant
� � m
lnspectlon/Testtng completed on: -44 ,,' By,
to �C
Fes:(M.G.L.Chapfer 148 Sec, 10A) Fire Chef
Note,Any cerllfcate Issued In accordance with provisions of M.C.L. Chapter 148,Sections 26F,26F1/2 expires sixty(60)
days after issuance by head of the Fire Department,
FIRE DEPARTMENT'S COPY