HomeMy WebLinkAboutCompliance Permit - Smoke/CO2 Compliance Permit - 383 ABBOTT STREET 5/16/2019 mom 6 QAwadaueZ
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pP-0070 ! 0 Return completed application to:
(Rev.1.1.2015)
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.O.L. CHAPTER 148, SECTIONS 26F,26F'I12
City or Town Oats: � A
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Application is hereby made for inspection of smam detectors and carbon monoxide alarms as required by
Massachusetts Genera['Lary,Chapter 146,Sections 26F,26FI 12 and 627 CMR 1:04 Sedlon 13.7.
NOTE;SUBMIT APPLICATION-TO LOCAL FIRE DEPARTMENT HEADQUARTERS
Location of Property 135 Phone -���� 5���3
Owner of Property � i� e ve'a Y�L�6� tic
Number of Dwelling Units Signature of App(Icant '
Inspection/Testing completed on: ` By:
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 28F,26F112 expires sixty(60)
days after issuance by head of the Fire Department.
FIRE DEPARTMENT'S COPY