HomeMy WebLinkAbout 550 Boxford ST 26F 2016J
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FP-007C
(Rev. 1.1.2015)
0 Return completed application to:
1201 12AN11 iTIMM11 1 R62 IN
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City or Town Date:
Application is hereby made for inspection of smoke detectors and carbon monoxide alarms as requiie� by
Massachusetts General Law, Chapter 148, Sections 26F, 26r1/2 and 527 CMR 1:00 Sectio
NOTE: SUBMIT APPLICATION TO LOCAL FIRE DEPARTMENT-HE4QUARTERS
Location of Property kl— J, t"
LOwner of Property
Number of Dwelling Units Si ure ofA I I
Inspection/Testing completed on:
(inspector)
Fee: (M.G. L. Chapter 148 Sec. I OA) Fire Chief--'
Note: Any certificate issued in accordance with provisions of M.G.L. Chapter 148, Sections 26F, 26FI/2 expires s
days after issuance by head of the Fire Department.
FIRE DEPARTMENT'S COPY