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Fire Alarm Inspection Report (2)
Your Life Safety Specialists 4445 W 77TH STREET, #125 MINNEAPOLIS, MN 55435 952-893-0905 · FAX: 952-835-4742 800-339-7132 FIRE ALARM INSPECTION REPORT "- Northland '" Fire & Secu . , Page~ of ~ P,O,# "> '4? MONITORING ACCT. # STATE CERTIFICATE # I DATj~" ,j t:' .oj () Pt'" ')c t' '-/ TSOO857 j'() '-,)(~ ""..f /< .1 ;>J -. -. LOCATION ADDRESS )/ /;,/, /7 -,/./';;;t". r/; i/':,/"" ,/e' / .' f// ,1 .4 J~~:- o BI-MONTHL Y o SEMI-ANNUAL /(? ' I / .... , ~,_/tl /,:: 1", n /7v CITY STATE ZIP PHONE o MONTHLY I3'ANNUAL ~ <le, ',ci7"', I OQUARTERLY o FINAL 1" , O,/..e:.. " _--- / I', I l;i . - f - · mmi MANUFACTURE MODEL NO, LOCATION --,_. , ,.-.... /,:1;-: dO"/ ,1-. //c)c...l(.) _J./c/.' ,-:;'1 _~- r.')~.J~><,. <>-_,/( Cl/r:/.:_(..", _.)/>c.-;/"-) BATTERIES I POWER v CIR. BRKR. LOCATION NO, LOCKED CI R. BRKR. DEDICATED CIR. VOLT W/CHARGER 0 NOTE # ,y' SOURCE ...I .:'/ .. //._~' ,I~ 'v 0 ~ ", 'J 121 YES o NO J:t YES o NO VOLT W/O CHARGER NEW - (,.' (....1 TROUBLE RESPONSE TO ZONE TROUBLE SIGNAL TROUBLE AC/OP POWER LOSS EARTH GROUND CONDITIONS ~ c(NORMAL Q NOJH Q.'ORMAL Q NOJH . MANUFACTURE MODEL NO. LOCATION <'" / · /' ,/ c', 7 .> r:- /.t'; ,.,/':,;/ . J /..... , /'I/'c,;/;' ./ C /<'<'n.' '?, .'" / . - "I' '. f, l ...J ,_,<-' - ,I ~~- ," BATTERIES VOLT W/CHARGER 0 NOTE # POWER CIR. BRKR. LOCATION NO. LOCKED CIR, BRKR. DEDICATED CIR. ,'o'... " SOURCE );: ,"N ., ::: ~(.../;.. o YES o NO o YES o NO VOLT W/O CHARGER NEW CENTRAL RESPONSE TO ALARM I TROUBLE RESPONSE TO ZONE TROUBLE SIGNAL TROUBLE AC/OP POWER LOSS EARTH GROUND MONITORING 0'/ NORMAL CONDITIONS STATION 0 NOTE # o NORMAL 0 NOTE # o NORMAL 0 NOTE # o 'NORMAL 0 NOTE # 0 NORMAL 0 NOTE # COMMUNICATOR COMMUNICATOR SECONDARY # !J 1/- . . . .. ; .. ~ DEVICE (/)) II 5 A..~ MFG. & MODEL# Manual Stations ). J / :,;" ;:- /r- Heat Detectors '\ I ., c/',.... / ", ./', J :> 'I, C r ,-l Smoke Detectors G.., /; ') :) 1/<:., (" , ('r .I " J / /(....,f //, (0 .... Duct Detectors Waterflow I 1 /;) I~~/ ! GVT 1 I j/ I /i l'li :1/'" f-;'-, " Horns only / Strobes only J / ;.. ,/1/ /Ik, .... Horn I Strobe ') I'll /, f'~' /,7/ t- Door Holders P, I \ 'ff " ,v I ,un ,r'r l.f~U[1I m:z1l!:!n . '.:1: [1\1 mIam~BmmlI::l:I:='.'m:mmI I 1'//11::1/., / /,/ /,/0 /._J 7/>", vi f,~{r;'., ,.... }..- , ,;->; / ,J ,. I <' c"",t{..,j'n .....- /; '" .? oR{ .r:' ) " /-1..;.-, (' .-J /1 p-' (I / /' CUSTOMER'S SIGNATURE "'fll1'[ / -:1 SERVICE REP, SIGNATURE .... . ...Z/G /:::}';/./</ .-;.--;:> ! I ,r ;>;";/ r' , '---/- ....~ d~ .' WHITE - OFFICE YELLOW - FIRE DEPT, "OK" PINK - CUSTOMER