Town of Winthrop, MA - Smoke Detector Inspection Request

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Smoke Detector Inspection Request

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Choose from the following:

Checkboxes	Checkbox Description	Checkboxes	Checkbox Description
	Single Family		Two Family
	Three Family		More Than three Family
	Gas Heat		Oil Heat
	Sprinklers		Fire Alarm system
	Fire Escape

Please provide the following information:

Field Description	Field Data	Required Field
Name:		required
Email:		required
Address:		required
City:		required
State:		required
Zip:		required
Daytime Phone		required
Alt Phone:		required
Fax:
Property Owners Name		required

If more than three units please specify number of dwelling units.

Field Description	Field Data
Thank You

Winthrop Town Hall 1 Metcalf Square, Winthrop, MA 02152

mkaras@town.winthrop.ma.us

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