C:\DOCUME~1\ADMINI~1\LOCALS~1\Temp\XPgrpwise\CO Certification.doc
OCEAN CITY FIRE DEPARTMENT
OFFICE OF THE FIRE MARSHAL
CARBON MONOXIDE DETECTOR
INSTALLATION CERTIFICATION
FORM
Please Return Completed Forms To: Office of the Fire Marshal
PO Box 158
Ocean City, MD 21843
In accordance with the Town of Ocean City, Ordinance 2007-2, titled “Carbon Monoxide
Detectors”, I certify and attest that a listed carbon monoxide detector is installed and
operational, either by permanent power or battery power, in those locations required by
Article VI of the Ocean City Fire Prevention and Protection Code applicable to existing
multi-family dwellings.
Unit # (s)
Building Name: Building Address
Street
Permanent Address:
Street City, State, Zip Code
City, State, Zip Code
Printed Name:
Relation to Property:
Signature: Date:
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signature
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