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Ot2y of 6alem, Massachusetts
Fire Department
48 Lafayette Street 29 Fort Ave
9(pfert'W.Turner Salem,Massachusetts 0197a3695 Sire Prevention
Chief TeL 978.744-1235
Bureau
97X744.6990 FaX 978-745--4646
978.745-7777
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR A BUILDING PERMIT
IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE
AND THE SALEM FIRE CODE, APPLICATION IS HEREBY MADE FOR THE APPROVAL OF PLANS
AND THE ISSUANCE OF A CERTIFICATE OF APPROVAL FOR A BUILDING PERMIT BY THE
SALEM FIRE DEPARTMENT, ( Ref. Section 113.3 of the Mass. Bldg. Code)
JOB LOCATION: K LJ,ILLOW AVE SRLFM
OWNER/OCCUPANT: SALLY W Gun" LLFlttY
ELECTRICAL.CONTRACTOR: ,
FIRE SUPPRESSION CONTRACTOR:
SIGNATURE OF APPLICANT: -PHONE S: 978-7}a,Z75T Z
C9'C,r lX.w..(.`
ADDRESS OF for Wlu-Ow AUC CITY OT
APPLICANT: _ S AIEF') TOWN:
APPROVAL DATE: A3 6
Certificate of approval is hereby granted, on approved plans or submittal of
project details, by the SALEM FIRE DEPARTMENT. All plans are approved solely
for identification of type and location of fire protection devices and equipment
All plans are subject to approval of any other authority having jurisdiction. ,
Upon completion, the applicant or installer(s) shall request an inspectionand/or
test of the .fire protection devices and equipment. :(ADDITTIONAL REQUIREMENTS,
SEE REVERSE SIDE sad)
NEW CONSTRUCTION.
PROPERTY LOCATION HAS NO COMPLIANCE WITH THE PROVISIONS OF
CHAPTER 148, SECTION 26 C/E, M.G.L. , RELATIVE TO THE INSTALA-
TION OF APPROVED FIRE ALARM DEVICES. THE OWNER OF THIS PRO-
PERTY IS REQUIRED TO OBTAIN COMPLIANCE AS A CONDITION OF
OBTAINING A BUILDING PERMIT.
PROPERTY LOCATION IS IN COMPLIACCE 'WIT'! THE PROVISION OF' C'HAPTEP
148, SECTION 26 C/E; M.r.L.
E;=�I RAT ION DATE:
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U' UL•'I 71500 1i
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