My WebLink
|
Help
|
About
|
Sign Out
Browse
Search
18-20206
Zephyrhills
>
Building Department
>
Permits
>
2018
>
18-20206
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/18/2019 10:28:19 AM
Creation date
3/18/2019 10:26:37 AM
Metadata
Fields
Template:
Building Department
Company Name
NESTLE WATERS NA INC
Building Department - Doc Type
Permit
Permit #
18-20206
Building Department - Name
NESTLE WATERS NA INC
Address
4330 20TH ST
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
34
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
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 <br /> below, on the date shown below,and were found to be operating properly in accordance with the requirements <br /> for the following: <br /> ®Modifications to an existing system <br /> All newly modified operational features and functions of the system were tested by, or in the presence of, the <br /> signer shown below,on the date shown below,and were found to be operating properly in accordance with the <br /> requirements of the following.• <br /> ®NFPA 72,Edition: <br /> ®NFPA 70,National Electrical Code,Article 760,Edition: <br /> ®Manufacturer's published instructions <br /> Other(specify): PLANS&SPECS <br /> ❑Individual device testing documentation[Inspection and Testing Form(Figure 14.6.2.4)is attached] <br /> Signed: Printed name: S.MCKELVEY Date: 1010512018 <br /> Organizatio 1 Title: T1S Phone:' <br /> 16. CERTIFICATIONS AND APPROVALS <br /> 16.1 System Installation.Contractor: <br /> This system,as c�ified herein,has been installed and tested according to all NFPA standards cited herein. <br /> Signed: Printed name: S.MCKELVEY Date: .' 10/05/2018 <br /> Organization: 1 Title: . LEAD Phone: <br /> 16.2.System ervice Contractor: <br /> The undersigned has a service contract for this system in effect as of the date shown below. <br /> Signed: Printed name: Date: <br /> Organization: Title: Phone: <br /> 16.3 Supervising 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 /> NFPA 72, Fig. 10.1812.1.1 (p. 11.of 12), <br /> copyright©2009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. ' <br />
The URL can be used to link to this page
Your browser does not support the video tag.