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� <br /> FIRE ALARM SYSTElVI RECORD OF COMPLETION <br /> To be comp/eted by the system insfallation contractor at fhe time of sysEem acceptance and approval. <br /> � � <br /> 1. PROTECTED PROPERTY INFORMATION <br /> Name of protected property: �eti1� �u�'���- <br /> Address: �j��� ���� (�, l�a� Zc�l�v�u«.s ; �� <br /> Description of property:� ��;` � <br /> Occupancy type: <br /> Name of property representative: �oh� �`r�;(�., <br /> Address: <br /> Phone: Fax: E-mail: <br /> Authority having jurisdiction over this property: L��y e� •ZePHvr�w��ls <br /> Phone: C�13,7�0-002p Fax: E-mail: <br /> 2. FIRE ALARM SYSTEM INSTALLATION, SERVICE AND TESTING INFORMATION <br /> Installer contractor for this equipment: P. I�r.S .S , <br /> Address: 3Sb� N 4�w7 1q(�► �LeJ�E- �e�x Fi. 3275"7 <br /> Phone:�YSS�96S' �72?7 Fax: ,s,,,„` E-mail: S.G3;,,�r�o..�PA�SS-FL , C... <br /> Service organization for this equipment: . �.s cL� I e Sc���.4v <br /> Address: I <br /> Phone: �°�l�(�7�.2�?.Zo� Fax: E-mail: � <br /> Location of s built drawings: Q,�,.�( Location of historical test reports: Q�,.�� <br /> Location of system operation and maintenance manuals: P„��� <br /> A contract for test and inspection in accordance with NFPA standards is in effect as of: 3/81 1g <br /> Contract expires: 3/5�1� Contract number: Freq. of routine inspection: ,,.�� <br /> 3.TYPES OF FIRE ALARM SYSTEM OR SERVICE <br /> NFPA 72 Chapter Reference of System Type: 72 <br /> Name of organization receiving alarm signals with phone numbers (if applicable): <br /> Alarm: S c� ��1 � � '�- Phone: (qlK��2L-22°o <br /> Supervisory: �� �� Phone: �� �� <br /> Trouble: �'� �� Phone: �� �� <br /> Entity to which alarms are transmitted: �� �� Phone: �� '� <br /> Method of retransmission of alarms to that organization or location: F{�.,.,�{- ! �1.,,,,�. <br /> If Chapter 8, note the means of transmission from the protected premises to the central station: <br /> �Digital alarm communicator _McCulloh _Multiplex _2-way radio _ 1-way radio _N/A <br /> If Chapter 9,note the type of connection:_Local energy _Shunt _N/A <br /> 3.1 System Software <br /> Operating system (executive)software revision level: �/�r <br /> Site-specific software revision level: �/A <br /> Revision completed by,N //� <br /> Page 1 of 4 <br />