HomeMy WebLinkAboutFAI19-0025 CF SA Declaration 2021 DocuSign Envelope ID:9694FA3C-7B8E-490A-A523-C2640451AE30
Butte County Fire Department
FIRE coo*. Fire Prevention Bureau
11111a' 176 Nelson Avenue Oroville, CA 95965 Butte County
FESCUE Office (530)538-7888
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www.buttecounty.net/fire ""F°R",A
2021 SMOKE /CARBON MONOXIDE ALARM DECLARATION
BUSINESS NAME PHONE # 530-570-6196
ADDRESS 6434 Woodard Drive A-F, Magalia CA 95954
OWNERS NAME Tony Sladek PHONE # 530-570-6196
OWNERS ADDRESS PC) Rox 1281 Pacifica CA 94044
EMAIL ADDRESS madsenprnpertieschicnQgmail corn
MANAGERS NAME Alicia Madsen PHONE # R,30-570-6196
MANAGERS ADDRESS 2607 Forest Ave#110 Chico CA 95928
EMAIL ADDRESS madsenprnpertieschirnasjmail corn
MANAGEMENT COMPANY NAME Madsen Properties
COMPANY ADDRESS
COMPANY CONTACT PHONE # 530-570-6196
This is to certify that approved smoke and carbon monoxide alarms have been installed and are
currently working in the above named site as per sections 13113.7 and 17926 of the California
Health and Safety Code and sections 907.2.10 and 1103.9 of the 2019 California Fire Code.
Number of dwelling units 5
Total of smoke alarms installed 2n
Total of carbon monoxide alarms installed 5
Alicia Madsen
Name (printor type)
6!44 sib gits//Ss#
Signed
5-6-2021 Property Manager
Date Title