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0000 ALLEN STREET - Street Files Allen St Commonwealth of Massachusetts - 3. Department of Fire Services - Office of State Fire Marshal y City of Salem - Fire Prevention Bureau 29 Fort Ave. Salem, MA 01970 (978)745-7777 APPLICATION FOR CERTIFICATE OF COMPLIANCE FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS M.G.L. CHAPTER 148, Sections: 26F, 26171/2- Res. Smoke&CO Detectors City of Salem Permit: FA-18-800 Application Date: 11/5/2018 Application is hereby made for inspections of smoke detectors and carbon monoxide alarms as required by Massachusetts General Law, Chapter 148,Section 26F,26F1/2 and 527 CMR 31,et seq. NOTE: SUBMIT APPLICATION TO SALEM FIRE RESCUE HEADQUARTERS Property Location 6 ALLEN STREET Salem, Ma. by NANCY LIPINSKI 2016 REVOCABLE TRUST LIPINSKI NANCY TR JOHN DBA Phone: Email: Inspection/Testing completed on: 11/5/2018 By: Inspector Fee(MGL C 148, Sec 10A): $100.00 Fire Chief Chief,Salem Fire Department Note:Any certificate issued in accordance with provision of M.G.L.Chapter 148,Sections 26F,26F1/2 expires sixty(60)days after issuance by head of Fire Department. Fire Department's Copy l ----------------------- --------- �nuDrr, Commonwealth of Massachusetts` \3. Department of Fire Services - Office of State Fire Marshal 3' I t C f1 c City of Salem - Fire Prevention Bureau CAf ME 29 Fort Ave. Salem, MA 01970 (978) 745-7777 APPLICATION FOR CERTIFICATE OF COMPLIANCE FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS M.G.L. CHAPTER 148, Sections: 26F, 26F1/2 - Res. Smoke& CO Detectors City of Salem Permit: FA-18-7161 Application Date: 10/3/2018 Application is hereby made for inspections of smoke detectors and carbon monoxide alarms as required by Massachusetts General Law, Chapter 148,Section 26F,26F1/2 and 527 CMR 31,et seq. NOTE: SUBMIT APPLICATION TO SALEM FIRE RESCUE HEADQUARTERS Property Location 8-1/2 ALLEN STREET Salem, Ma. by HAMZE IBRAHIM M © 9 Phone: Email: Inspection/Testing completed on: 10/3/2018 By: o�� Inspector Fee(MGL C 148, Sec 10A): $150.00 Fire Chief Chief,Salem Fire Department Note:Any certificate issued in accordance with provision of M.G.L.Chapter 148,Sections 26F,26F1/2 expires sixty(60)days after issuance by head of Fire Department. Fire Department's Copy 1101T4.,. Commonwealth of Massachusetts { y. Department of Fire Services - Office of State Fire Marshal City- of Salem - Fire Prevention Bureau 29 Fort Ave. Salem, MA 01970(978) 745-7777 APPLICATION FOR CERTIFICATE OF COMPLIANCE lug FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS M.G.L. CHAPTER 148, Sections: 26F, 26F1/2 -Res. Smoke& CO Detectors City of Salem Permit: FA-20-440 Application Date: 8/10/2020 Application is hereby made for inspections of smoke detectors and carbon monoxide alarms as required by Massachusetts General Law, Chapter 148, Section 26F,26F1/2 and 527 CMR 31, et seq. NOTE: SUBMIT APPLICATION TO SALEM FIRE RESCUE HEADQUARTERS Property Location 1 ALLEN STREET Salem, Ma. by JARMUSIK MICHAEL R REYNOLDS ELLEN M DBA Phone: Email: Inspection/Testing completed on: 8/10/2020 BY c, o Inspector Fee(MGL C 148, Sec 10A): $100.00 Fire Chief Chief,Salem Fire Department Note:Any certificate issued in accordance with provision of M.G.L.Chapter 148,Sections 26F,26F1/2 expires sixty(60)days after issuance by head of Fire Department. Fire Department's Copy 301 City of(Salem, Ma's'sachu'setts CHECK�- zk Fee Due n Inspection Date: o FIRE DEPARTMENT- FIRE PREVENTION DIVISION MvE„ 29 Fort Avenue ��MINEd Salem, Massachusetts 01970-5232 Time C.6 APPLICATION FOR CERTIFICATE OF COMPLIANCE Closing Date: To: HEAD OF FIRE DEPARTMENT One Family Dwelling ❑ Two Family Dwelling ❑ Condominium Unit# Application is hereby made for inspection of smoke detectors and carbon monoxide alarms as required by Massachusetts General Law,Chapter 148 Sections 26F,26F1/2 and 527 CMR 31.et seq. Type of Smoke Detector Battery Hardwire Hardwire wBat. back-up Heat Combination Type of Carbon Monoxide Detectors Battery Plug-in wBat. Back-up Combination Location of Property IMLL,,Z k�T,-Ine-s 22 c s i.tJ S Owner of Property Date of Certification 1.2 1, OWNER ORAGENT By 0—aca..— �,6.A 0 o PHONE Note:Any certificate issued in accordance with provisions of M.G.L. Chapter 148 Sections 26F, 26F1/2 expires sixy(60) days after issuance by head of the Fire Department.