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(NFPA 72,2002 Edition) <br /> Fire Alarm System <br /> Record of Completion <br /> Protected Property: Rep. (Name/Phone) <br /> J­ <br /> / <br /> Address: ✓ 4 <br /> Authority Having Jurisdiction:- Address/Phone No.: = 4, <br /> Organization Name/Phone,­ Representative Name/Phone <br /> Installer: <br /> f i:Irf <br /> Supplier: <br /> Service.Org.: <br /> Location of Record(as-built)Drawings: X'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: <br /> a) Operating System Software Revision Level(s): <br /> b) Site Specific Software Revision Date: <br /> C) Revision Completed by: (Name) V (Firm) <br /> 1. Type(s) of System or Service: <br /> 1 NFPA 72, Chapter,6—Local If alarm is transmitted to location(s) off premise, list where received: <br /> j.:2 <br /> NFPA t, Chapter 8 -Remote 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 <br /> Telephone Numbers Of Organization Receiving Signals: <br /> If alarms are re-ftansmitted 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 /> (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 /> service since <br />