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7�51 NATIONAL FIRE ALARM AND SIGNALING CODE Job# <br /> Permit# i7(54/17523 <br /> 14.�� RECORD OF SYSTEM INSTALLATION - <br /> �Fill out after each installation is comp[ete and wiring has been checked for opens,shorts,ground faults,and improper branching, <br /> �i <br /> but before conducting operational acceptance tests. <br /> This is a: �; New System � Modifications to an existing system <br /> ' This system has been installed in accordance with the following requirements:(Note any or all that apply). <br /> �� <br /> i�'�j NFPA 72,Edition: 2010 , <br /> o� <br /> � NFPA 70,National Electric Code,Article 760,Edition: 2011 <br /> � Manufacturers Published instructions �; Other(spec�): <br /> [ ; Individual Device testing documentation[Inspection and Testing Form(Figure 14.6.2 4) is attached] <br /> System deviations from referenced NPFA standards: <br /> Signed: Printed name: Date: <br /> ,, Organization: Fort Knox Fire&Communications, Inc Title: Phone: (SI 3) 653-1605 <br /> k <br /> 15. RECORD OF SYSTEM OPERATIONAL ACCEPTANCE TEST <br /> � New System � <br /> �� All operational features and functions of this system were tested by,or in the presence of,the signer shown below,on the date <br /> � shown below,and were found to be operating properly in accordance with the requirements of the following: <br /> � Modifications to an existing system <br /> All newly modified operational features and functions of this system were tested by,or in the presence of,the signer shown below, <br /> on the date shown below,and were found to be operating properly in accordance with the requirements of the following.• <br /> ' �, NFPA 72,Edition: 20I 0 � <br /> �; NFPA 70,National Electric Code,Article 760,Edition: 2011 � <br /> � �i Manufac rer Published insh�uc /•'� �� Other(specify): <br /> // � <br /> " � Indi dua evice es X'g�l c e ion[Inspection and Testing Form(Figure 14 6.2.4)is attached] �, <br /> ; , c� <br /> � Signe�• i � ���iame: Date: � � ; <br /> . <br /> Organi tion: , rt Knox FiYe& ommunications, Inc Title: Phone: (813), 653-1605 i <br /> � <br /> � <br /> � <br /> w <br /> 0 <br /> � <br /> FIGURE IO.18.2.1.1 Continued (2010 Edition) NFPA 72(pg.ll of 12) <br /> Revised 1/1/201 S 2010 Edition n <br /> Y i <br /> w <br /> I <br /> � <br /> II <br />