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13-14582
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2013
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13-14582
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Last modified
6/12/2014 10:42:21 AM
Creation date
6/12/2014 10:42:18 AM
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Building Department
Company Name
DIALYSIS CENTER
Building Department - Doc Type
Permit
Permit #
13-14582
Building Department - Name
BILL NYE REAL & SIMPLY THREE LL
Address
36819 EILAND BLVD UNIT 2
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7`1-37 NATIONAL FIRE ALARM CODE <br /> JOB# I-6538 <br /> Permit# 14582 <br /> 13.CERTIFICATIONS AND APPROVALS <br /> 13.1 System Installatioa Contractor <br /> This system as specifie � as n installed and tested according to all NFPA standards cited herein. <br /> Signed: Printed name: Yosvarint Custaneda Date: I 1/15/13 <br /> Organizatio : Critical Sysiem Solutions,LLC. Title: Installaiion Tech Phone:(727) 209-5122 <br /> 13.2 System Service Contactor <br /> This system as specified herin has been installed and tested according to all NFPA standards cited herein. <br /> Signed• Printed name: Kevin Lang Date: I 1/15/13 <br /> .�' <br /> Organization: CrttiCal System SOIu[ionS,LLC. Title: Installaiion Tech Phone:(727) 209-5122 <br /> 13.3 Remote Station Monitoring <br /> This system as specified herin will be monitored according to all NFPA standards cited herein. <br /> Signed: Printed name: Date: <br /> Organization: Title: Phone: <br /> 13.4 Property Representative <br /> I accept this system as having been installed and tested to its specifications and all NFPA standards cited herein. <br /> Signed: Printed name: Date: <br /> Organization. Title: Phone: <br /> 13.5 Authority Having Jurisdiction <br /> [have witnessed a satisfactory acceptance test of this system and find it to be installed and operating properly <br /> in accordance with its approved ptans and specifications,its approved sequence of operations,and with all NFPA <br /> standards cited herin. <br /> Signed: Printed nam�N�� ��I'�1� Date: L � !� �� � <br /> Organization: � --��' Title: tJ�(��vG C� � ' c�C1r �Z�c.� <br /> � Phone: <br /> `�Ti�lti�v�z�'r���_ <br /> Notes: Certi�caiion is for instqllation o f new�re alarm sysrem per plans &specs. <br /> FIGURE 4.5.2.1 Record of Completion (2007 Edition) NFPA 72(pg.S of S) <br /> Revised 3�'1 S/2012 <br />
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