|
� 1 Q9-B Concord Drive
<br /> t�yna Fi re Casselberry, FL 32707
<br /> . Phone 407-830-6500
<br /> �Lic #EF20000528 , Fax 407-831-1347
<br /> Page 2 of 4
<br /> Organization Name/Phone Representative Name/Phone
<br /> Installer i1��.�J� 6.",✓ � ,,.,� �'T v�� /.�,�%- H � ,,. - `���.�
<br /> Supplier i�y�A ('r , �� � ,,,c ;���„ � ,-,,a i��- ;r°
<br /> Service Organization ,�� ;�;.� t� � ;- � N t-- ; i r��� l�a �� �-_
<br /> Location of Record (As-Built) Drawings:
<br /> ,'I.�J ��� '
<br /> Location of Owner's Manuals:
<br /> ;-)r..i ��
<br /> Location of Test Reports: _
<br /> ��� �- � l `�
<br /> m
<br /> A contract, dated ,for test and inspection in accordance with NFPA Standard(s)
<br /> No.(s) , dated , is in effect.
<br /> 2. Certfficate of System Installation. (Fill out after installation is complete and wiring checked for opens, shorts,
<br /> ground faults, and improper branching, but prior to conducting operational acceptance tests.)
<br /> This system has been install� in accordance with the NFPA Standards a•lis d below, was inspected bX
<br /> l{,..!.�,r�:� � ; �.� on ia 7 ; � , includes the devices listed
<br /> below and has been in service since �
<br /> NFPA 72, Chapters �,1�; `3`; ;����r5'�; c'� � (circle all that apply)
<br /> ;� NFPA 70,Netionel Electrica/Code,Article 760
<br /> k Manufacturer's Instructions
<br /> Other(specify): ,.-''�
<br /> Signed: -----,---�—=.�-'�--�---"'��-''_-----. Date: i u/> , �
<br /> .,
<br /> � , ,
<br /> Organization: j�y-�,fr,�. � �{°
<br /> 3. Certffication of System Operation:
<br /> All operational features and functions of this system were tested by�,,��� f; ;�� �,.
<br /> on ; F�;�_ and found to be operating properly in accordance with the requirements of:
<br /> t NFPA 72, Chapters _t > ������ �°�^6�' (f^'� (circie all that apply)
<br /> �
<br /> NFPA 70, Na[ional E/ectrica/Code, Article 760
<br /> �y Manufacturer's Instructions �
<br /> Other(specffy): �
<br /> Signed: --"._._ - .�-.. . ---- ` - Date• ;r� S � �
<br /> Organization: ''" J j��„ ,,,� ",., � �
<br /> 4. Alarm Initiating Devices and Circuits (Use blanks to indicate quantiry of devices.)
<br /> MANUAL
<br /> a) ' Manual Stations Noncoded Transmitters .k Coded
<br /> b) Combination Manual Fire Alarm and Guard's Tour Coded Stations
<br /> AUTOMATIC
<br /> Coverage: Complete: Partial:
<br /> a) � Smoke Detectors lon Photo
<br /> b) Duct Detectors lon Photo
<br /> c) Heat Detectors FT RR FT/RR RC
<br /> d) Sprinkler Water Flow Switches: Noncoded Transmitters Coded
<br /> e) Other(11st):
<br />
|