HomeMy WebLinkAboutFP 2009-00019 Certificate of Installation (03-13-2009) , •
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\ Fire & Secu .
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4445 W. 77th Street, Suite 125 Kf,, 2069-006 1 7
Minneapolis, MN 55435 ,
FIRE SUPPRESSION SYSTEM DISTRIBUTOR-CERTIFICATE OF INSTALIATIlef‘t •
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T Be Completed by Fire System Distributor
Job Address —___—____ __.....__...
___44 j________- _i__7".i.d„---
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ystem Type : ::_t_(:)±_-___ t , Wu Serial Number _CX(A, gr;;:_ ....
System Model __aj-_42,1,:_piL___ • Piranha War Pressure ______
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Fuel/Energy Shut Off Device Installed. Tested on
Gas Valve: Mechanical 1:1 Electrical [1 Size Shunt Breaker
This Fire Suppression System is installed in accordance per the Manufacturer's instruelioo
and drawings, NFPA 96, 17A, UL300 standards (current issues) and all applicable state atm,
codes. All electrical work or work performed by others to Complete the installation of this .. ,.
has been completed. Exceptions are noted below. (Use back of sheet if necessary)
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Installer's Name_
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To be. Completed by Owner or Owner's Representative
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.• - 1 .- 1iUVereceived a cop ofthe Fire Suppression System Owners Manual and 1 understaii
I also understand that it ' e recommendation of the National Eire Protection Associati
(NFPA) that the it ste ' : inspected every six months to maintainits reliability.
7 Signature alll Date 5 - / " 0 /
To be Completed by the Authority Having Jurisdiction .
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Functional tests have been witnessed and the system performs as designed.
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Signature_11144 f 7 , = Date Sfij e&_''' ._.
COMPLETE FIRE & SECURITY PROTECTION
24 HOUR SERVICE OWL. 0,
(952) 893-0905 Fax: (952) 835-4742 ..
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