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(NFPA 72,2002 Edition) Fire Alarm System <br /> Record of Completion <br /> Rep. (Name/Phone) <br /> Protected Property: o I <br /> j -Y <br /> Address: 1 1 j e j <br /> Address/Phone No.: <br /> Authority Having Jurisdiction:, T <br /> Organization Name/Phone j Representative Name/Phone <br /> Installer: -7 7- <br /> 7 <br /> Supplier:. rl <br /> Service Or g.: <br /> Location of Record(as-built)Drawings: <br /> Location of Owners Manual: i Test Reports: e!-s �JY, <br /> A contract for test and inspecti6n' in'accordance with NFPA standard(s): Effective Date: <br /> Expiration Date: <br /> System Software: <br /> a) Operating System Software Revision Level(s): <br /> b) Site Specific Software Revision Date:— <br /> c) Revision Completed by: (Name) (Firm) <br /> 1. Type(s)of System or-Service: <br /> I - '. <br /> NFPA 72, Chapter 6—Local If alarm is transmitted to location(s) off premise; list where received: <br /> f,4FP'A,72,t-Kapfler 8 -' kemote Station: 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—Proprietary: Account 4: <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 /> ,'i", 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 Rd dio Others <br /> Means of transmission of alarms to the public service communications center: <br /> (a) (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 /> on includes the devices noted below and has been in <br /> Y <br /> service since <br />