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i <br /> � License#EF-20001162 <br /> u e r�C`'r , FIRE ALARM SYSTEM <br /> �; RECORD OF COMPLETION <br /> Fire Alarm&Communications � <br /> .ame i f protected,property `,U�M� �S � /'��� ��L� ��- � I <br /> Address:����� �� t'C��.J Q 1Z� �L7 G- � � l� Qk}v��I-i �S 'F �����2 <br /> Repre�entative of protected properly(name/phone): <br /> Autho�ty having jurisdiction; <br /> Address/Telephone number <br /> Organization name/phone Representative name/phone <br /> Installer: >v �i 02 .7 i 2� �� - l�.-����'�1 �J� �� .. ' 1��"L��tu�� <br /> Suppiii r. S �F��O�. i�� — <br /> Service organiza ion: •�`�Z � ��= <br /> Localion of record (as built)d wings: �� 2'L A�Z'M ��s,Vti'L- <br /> Location of operations and maintenanc manuals:- F�1t-'� �L�11Zr`'� ���U �/�AIL �. <br /> Locati i n of test reporis: t�R� ��� .�nc�� ��/�C �. <br /> A contract for test and inspection in accordance with NFPA stantlard(s) <br /> Contract No(s): Effective date: Expiration dale: <br /> System Software <br /> (a) O�perating system(executive)software revision date. �7_� l�'� 2.0�E, <br /> � �. �l� 2:- '�- (7�b <br />' (b) Site-specific software revision date: <br /> (c)Revision completed by: • �C _ <br /> � (name) (r� ) <br /> 1. Type of System or Service <br /> NFPA 72, Chapter 6-Local <br /> If alarm is transmitted to location(s)off premises, list where received: <br /> .�— NFPA 72,Chapter 8-Remote Station <br /> Telephone numbers of the organization receiving alarm: <br /> Alarm: <br /> Supervisory: <br /> Trouble: <br /> If alarms are transmitfed to public fire service communications centers or others,indicate location and telephone <br /> numbers of the organizations receiving alarms: <br /> Indicate how alarm is transmitted: <br /> NFPA 72, Chapter 8-Proprietary <br /> Telephone numbers of the organization receiving alarm: <br /> Alarm: ' <br /> Supervisory: I, <br /> Trouble• ' <br /> If alarms are transmitted to public fire service communications ceniers or others, indicate location and telephone I, <br /> numbers of the organizations receiving alarms: � <br /> � <br /> Indicate how alarm is transmitted: <br /> � <br /> NFPA 72,Chapter 8-Central Station <br /> ' Prime contractor: <br /> Cent�al stalion location: � <br /> i (NFPA 72, 1 of 4) <br /> I ; <br /> � <br />