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11. RECORD OF SYSTEM INSTALLATION � � <br /> Fill out after insfallation is comp/ete and wiring has been checked for opens,shorts,ground faults, and improper 6ranching,but before conducfing <br /> operational acceptance fests. <br /> This system has been installed in accordance with the following NFPA standards: (Note any or all that apply.) <br /> X NFPA 72 �t NFPA 70, National Electrical Code, Article 760 <br /> �Manufacturer's published instructions _Other(please specify): <br /> System deviations from referenced NFPA standards: 7�. <br /> Signed: ,�C� '�./�" Printed name: .�e�. (�:�k��., Date: 3/$f 1 S <br /> Organization: Q,A.$. S. Title: ��s. /�,,,�„scr Phone:�4•�)940-8?�S' <br /> 12. RECORD OF SYSTEM OPERATION <br /> All operational features and functions of this system were tested by or in the presence of the signer shown below, on <br /> the date shown below, and were found to be operating properly in accordance with the requirements of: <br /> !( NFPA 72 �NFPA 70, National Electrical Code, Article 760 <br /> �Manufacturer's published instructions _Other(please specify): <br /> �Documentation in accordance with Inspection and Testing Form (Figure 10.6.2.3) is attached <br /> Signed:�' �/��- Printed name:_ ��s� W:.��r�a, Date: 3/�/( � <br /> Organization: P/�.,5.5. Title: ois, /��,�w z- Phone:[�07)7`�p-p'2�.5 <br /> 13. CERTIFICATIONS AND APPROVALS <br /> 13.1 System Installation Contractor <br /> This system as specified herein has been installed and tested according to all NFPA standards cited herein. <br /> Signed: �l���„�-` Printed name: ��ti� (�,�„�.�,.{�,,, Date. 3/�jl � <br /> Organization: p,J�._�j,�, Title: �is_ �'1..�...•tier Phone: C�a•� 790- $�2,5 <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 Representative <br /> I accept this system as having been installed and tested to its specification and all NFPA standards cited herein. <br /> Signed: Printed name: Date: <br /> Organization: Title: Phone: <br /> 13.5 Authority Having Jurisdiction <br /> I have witnessed a satisfactory acceptance test of this system and find it to be installed and operating properly in <br /> accordance with all NFPA standards cited herein. <br /> Signed: �,��_�.:�.,�-^f Printed name: C�G�^�//�v�--�'� Date: �3 b1 i�l' <br /> Organization: �,�J �f �,�,�,i,�/�� Title: ��� �5,�<�r�~L Phone: I 3 7�� c7c.� �, <br /> Reprinted with permission from NFPA 72,National Fire Alarm Code,Copyright°2007,National Fire Protection Association,Quincy,MA 02169 This II <br /> reprinted material is not the complete and official position of the NFPA on the referenced subject which is represented only by the standard in its <br /> entirety <br /> Distributed by� AFAA—P O Box 1569 Jasper,GA 30143 Web—www.afaa.org <br /> Phone—678-454-FIRE(3473) Fax—678-454-3474 Email-fire-alarm@afaa.org Page 4 of 4 <br />