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(NFPA 72,2002,Edition) <br /> Fire Alarm System <br /> Record of Completion <br /> Protected Property:_ Rep. (Name/Phone <br /> R `' : <br /> Address L <br /> Authority Having Jurisdiction: Address/Phone No.: <br /> Organization Name/Phone Representative Name/Phone,y, <br /> Installer: ? <br /> V j-. r U <br /> Supplier. <br /> Service Org.: <br /> Location of Record(as-built)Drawin <br /> gs: <br /> Location of Owners Manual: Test Reports: <br /> A contract for test and inspection in accordance with NFPA standard(s): Effective Date: <br /> Expiration Date: <br /> System Software: r, -V <br /> a) Operating System Software Revision Level(s):IL'_ <br /> b) Site Specific Software Revision Date: <br /> c) Revision Completed by: (Name) lJ)", I (Firm)I. Type(s) of System or Service: <br /> NFPA 72, Chapter 6—Local If alarm is transmitted to location(s)off premise, list where received: <br /> 'Remote Station: Account I <br /> NFPA 72, Chapter 8 -7 <br /> Telephone Numbers Of Organization Receiving Signals: 2 <br /> If alarms are re-transmitted to public fire service communications center or others, indicate location and <br /> telephone of the organization receiving alarm: <br /> Indicate how alarm is retransmitted: <br /> NFPA 72 Chapter 8—Proprietary: Account <br /> Telephone Numbers Of Organization Receiving Signals: <br /> If alarms are re-transmitted to public fire service communications center or others, indicate location and <br /> telephone of the organization receiving alarm: <br /> Indicate how alarm is retransmitted: <br /> NFPA 72, Chapter 8 -Central Station: Account <br /> The Prime Contractor: <br /> Central Station Location: <br /> Means of transmission of signals from the protected premise to the central station: <br /> McCulloh Multiplex One-Way Radio <br /> Digital Alarm Communicator Two-Way Radio Others <br /> Means of transmission of alarms to the public service communications center: <br /> (b <br /> System Location: <br /> 2. Record of System Installation <br /> (Fill out after installation is complete and wiring checked for opens, ground faults,and improper branching, but <br /> prior to conducting operational acceptance tests). <br /> This system has been installed in accordance with the NFPA standards as listed below,was inspected.,by <br /> U <br /> on an includes the devices noted below d has been in <br /> service`since <br />