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FIRE ALARM SYSTEM RECORD OF COMPLETION To be completed by the system installation contractor at the time of sysfem accepfance and approval. 1. PROTECTED PROPERTY INFORMATION Name of property: � � �' , �; �A /�j,F,�d dL P`jti,s Address: ��'✓�C� /�//' �r �2 �r I`F,� � -A Description of property: Occupancy type: Name of property representative. Address: Phone: Fax: E-mail: Authonty having jurisdiction over this property: Phone Fax: E-mail: 2. FIRE ALARM SYSTEM INSTALLATION, SERVICE, AND TESTING INFORMATION Installation contractor for this equipment: Address: Phone. Fax: E-mail: Service organization for this equipment: Address: Phone. Fax: E-mail: Location of as-built drawings: Location of historical test reports. Location of system operation and maintenance manuals. A contract for test and inspection in accordance wrth NFPA standards is in effect as of Contracted testing company: Address. Phone: Fax. E-mail: Contract expires: Contract number• Frequency of routine inspections• 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE NFPA 72 Chapter Reference of System Type: Name of organ�zation receivmg alarm signals with phone numbers (if applicable)• Alarm: Phone: Supervisory: Phone Trouble Phone: Entity to which alarms are retransmitted: Phone: Method of retransmission of alarms to that organization or location Reprinted with permission from NFPA 72,National Fire Alarm CodeOO,Copyright�02002,National Fire Protection Association,Quincy,MA 02169.This reprinted material is not the complete and official position of the National Fire Protection Association on the referenced subject which is represented only by the standard in its entirety. �O 2007 National Fire Protection Association SCa24-2-014 Rev (10/07)(p.1 of 5)