HomeMy WebLinkAboutCompliance Permit - Smoke/CO2 Compliance Permit - 416 ABBOTT STREET 2/15/2019 FP_007C .v 0 Return completed application to: 4,
(Rev.1.1.2015)
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER 146, SECTIONS 26F, 261`112
City or Town / -J`06 U C le Date: 5
Application is hereby made for inspection of smoke detectors and carbon monoxide alarms as required by
Massachusetts General Law,Chapter 148, Sections 26F,26F1l2 and 527 CMR 1:00 Section 117.
NOTE:SUBMIT APPLICATION TO LOCAL FIRE DEPARTMENT HEADQUARTERS
Location of Property 6 C' Phone # '7%7 1 - -71 1? Z
Owner of Property P��11 tic Krl-o!
Number of Dwelling Units Signature of Applicant `
Inspectionfresting completed on: By: [�-V
{Insp�cl '
Fee:(M,G.L.Chapter W Sec. 10A) Fire Chief
Note:Any certificate issued in accordance with provisions of M.G.I..Chapter 148,Sections 26F,26F112 expires sixty(60)
days after issuance by head of the Fire Department,
FIRE DEPARTMENT'S COPY