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� , - ,.- . .. . , . . __ . _ , , _ . � S P E C 1 A LT Y E L E C T R O N 1 C 5 Y S T E M S� � N C■ Meana of tranamisaion of signals from the protected premisea to the central station� 3791 9 HEATHER PLAZA • DADE CITY� FLORIDA 33525 McCulloh Multiplex ►��One-wayradio 3 5 2-5 6 7-5 9 9 6- 3 5 2-5 2 1 -6 O 8 5 Digital alarm communicator 'I`wo-way radio �Others �� FIRE ALARM SYSTEM RECORD OF COMPLETION Means of tranemisaion of alarms to the public fire aervice communications center: Name of protected property: �—��d�`��''��=� L'�-�-�� ! � - (8) Addresa: ��k.��,� �^��°`� "�Ll�: ��,��° l�l^-81�: . $"�• �"S,�`i`�.� �b) Representative of protected property(name/phone): t Syatem location: Authority having juriadiction: NFPA 72,Chapter 9—Awdllary Address/telephone number: Indicate type of connection: Local energy Shunt Parallel telephone Org¢nization name/phone Representatiue rzarnelphone �-+ �� K Location af telephone number for receipt of signals: Installer Specialty Electronic Systems 352-567-5996 �Lo�;��.`�-� •�.Y '+..�?�"v�� Supplier - Service organization S ecial Electronic S stems 2.Record of System Installation Location of record(as-built)drawinge:_ �°'�" � �' - (Fill out after installation ia complete and wiring ia checked for opens,shorts,ground faults,and improper branching, Location of operation and maintenance�manuals: ..�++� but prior to conducting operational acceptance tests.) Location of test reports: ��'-�+�''• - This ayatem has been installed in accordance with the NFPA standarda as shown below,was inepected by A contract for test and inapection in accordance with NFPA etandard(s) ��.E��"° t��s-i.s on ��eS ,includes the devices ehown Contract No(s): Effective date: Expiration date: in 5 and 6,and has been in service aince _, . Syatem Software �NFPA72,Chaptera 1 2 3 4 5 6 7'8 9 10 -11--(circle all that apply) (a)Operating system(executive)software revision level(s): ,� �---___.__. ` J (b)Site-epecific softwaze revision�date: " , !N�F'PA 70,N¢tional Electrical Code,Artic7e 780-1��—`�"�l��'M_ (c)Revision completed by: ' (name) ; (n�) ��Manufacturer'a instructions 1.Type(s)of System or Service _Other(specify): NFPA 72,Chapter 6—Local ` �� If alarm is transmitted to location(s)off premiaea,list where received: ¢'� ,, � Signed: P--- � Date: e � A,b l 4� �� L"� Specialty El�ctronic Systems � NFPA 72,Chapter S=Remote Station _ Telephone numbers of the organization receiving alarm: 3.Record of System Operatlon �� Documentation in accordance with Inepection Testing Form,Figure 10.6.2.3,is attached p Supervisory: All operational features and functione of this system were tested by ti'��'o.a�''��.�'.-T�-�� date � C�`�Cy,� (.'.'�� Trouble: and found to be operating properly in accordance with the requirements of: + g If alarme are retransmitted to public fire aervice communicatione centers or othera,indicate lceation and telephone j _._�_._ _____ J numbers of the organization receiving.alarm: �NFPA 72, Chapters 1 2 3 4 5 6 7 8 9 10 11' (circle all that apply) � Indicate how alarm is retransmitted: "�NFPA 70,National Elect'rccZ Co`de,Ar�icle-760 ^�'��' NFPA 72,Chapter 8—Proprietary —Manufacturer's instructions Telephone numbera of the organization receiving alarm: , Alarm: ' _Other(specify):!"� Tr ubles�ry. Signed:_ /�� .�� Date: E ��9 ��" ' I£alarms�are retransmitted to public fire service communications centers or others,indicate location and telephone ' �''�'"'r`� i Organization:_Specialty Electronic Systems nnmbers of the organization receiving alartn: ' `. .r! �Indicate how alarm ia retransmitted: 4.Signaling Line Circults �°+� NFPA 72,Chapter 8=Central Statiion Quantity and class of aignaling line circuits connected to system(see NFPA 72,Table 6.6.I): Prime contractor: -��►°''�' � r��Pdi. .-� "`Central station location: Quantity: � Style: '+ Clasa: E�`'�• (NFPA 72,1 oi 4) �NFPA 72,2 of 4)