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I I <br /> �I <br /> I • • ELECTRIC <br /> i <br /> ENGINEERING <br /> �'/!.�/�" LIFE SAFETY TECHNOLOGY <br /> I AUTOMATION <br /> iLIFE SAFETY I <br /> i I <br /> ;I <br /> '12 RECORD OF SYSTEM OPERATION i <br /> � All operational features and functions of this system were tested by in the presence of the signer shown below, II <br /> p, on the date shown below, and were found to be o erating properly and in accordance with the requirements of: <br /> � �NFPA 72 �NFPA 70,National Electrical Code,Artide 760 <br /> � �Nlanufacturer's published instructions �other(please speafy): <br /> ' �Docume 'on' c anc i spection and T ting Form(Figure 14.6.2.4)is attached <br /> Signe . , Printed name: �j� �,f��C( � �ate: �v� /3 `�' <br /> i Organization: c �� � e Ti�e: �d f-d�co,,,� Phone: �a-7�l a-3 �-,/��' <br /> I 13 CERTIFICATES AND APPROVALS <br /> 13.1 System Insta ntractor <br /> Y This syst e h in i Iled and tested according to all NFPA standards cited h rein. <br /> Signe : ���'� "�Printed name: Rollie Blake Date: ���� ��� <br /> Organization: APG Life Safety T�e: Forman Phone: 72�-423-8486 <br /> 13.2 System Service Contractor <br /> This system as specified herein has been installed and tested according to all NFPA standards cited herein. , <br /> Signed: Printed name: Date: <br /> Organization: Title: Phone: <br /> 13.3 Central Station <br /> This system as specified herein will be monitored according to all NFPA standards cited herein. <br /> Signed: Printed name: Date: <br /> Organization: Title: Phone: <br /> 13.4 Property Repr+esentative <br /> This system as specified herein has been installed and tested according to all NFPA standards cited herein. <br /> I Signed: Printed name: Date: <br /> Organization: Title: Phone: <br /> N <br /> 13.5 Authority Having Jurisdiction <br /> I have witnessed a safisfactory acceptance test ofthis system and flnd itto be installed and operating properly <br /> in accordance with its approved plans and specifications,its approved sequence of operations,and with all NFPA <br /> � standards cite herein. <br /> u <br /> Signed: _ Printed name: �,a-r6� � - ^ Date:�•i'3.!G <br /> Organizatio : `e Ti�e: ��d �i`�-�,� Phone: `7�'� oo�c� <br /> � <br />� I <br /> Contractors ECOODQA8fi P Engic�ers C�J�7 i„8251�1UthAuerns�ltodh i CLeraa[cr.FF�riDa 337u2 E T r27.534.04J�t F%27.530.(:DA5?��nvapgeloctriacom <br /> Page 5 of 5 <br /> � <br /> L � <br />