2006, 04-20 Bldg H: Fire Alarm Record of Completion FIRE ALARM SYSTEM 3tArtridijr
RECO D OF.COMPLETION -
Name of protected property: r /P✓ /GL 4p.r/",
Address: 66/ Gila •
•
Representative of protected property(name/phone): r.
• Authority having jurisdiction: - C. .. r/�s
Address/telephone number: /.S/ eekr sS �i/r.A114 ..r-09- e2
9 R 9�d y/2
- Organfzanon-nine/phone Representative name/ph-am
Installer .147;e, ,SirrfP..t�.s I i c ./S49-5x34'S"/e4 • Firs ic/��•P Sf'9° 9. S//
Supplier A/.1? .�'ySfte. ,t' !e/ce)-r". -`s73''/-67 0 ,.C�vrreZy / 9Y- 5�g.3'V/
Service organization,•Fi Yz� s.SK re •.err Gr1v�s e. vie 9 -5�;y.. 5'/90 DG/,P e r AVs-;gyp~Ff w
Location of record(es-built)drawings:. el
Location ofoperation and maintenance manuals: d.V t`'e. •
Location attest reports: 6.t/ S"/
A contract for test and impaction in accordance with NFPA standard(s) =
• - •Contract No(s): Effective date: • Expiration date: . •
•
System Software
(a)Operating system(enecutive)software revisio level(s): Y'' f •
(b)Site-specific software revision date: 5/ 9/06 .
(c)Revision completed by: tl ffi%1/ Ale C f t/C/+?J i the
(hams) ET ••(firm . •
1.Typ(s)of System or Service •
• NFPA 72,Chapter 6—Local .If alarm is d to locations off premises listwhere received: •
• 9/arm fer to.2. T,vC_• -Iraq 7s-.2;-ay?Q ?I.-576/
NFPA 72,Chapter.8—Remote Station '
Telephone numbers of the organization receiving alarm: •• •
•• . Alarm; . - -
Supervisory -
Trouble: '
' If alarms ate retransmitted to public fire service communications centers.orothers,indicate location and telephone• •
• numbers of the organization receiving alarm:
Indicate how alarm is retransmitted:
NFPA 72,Chapter 8-�Proprietary V •
• Telephone numbers ofthe organization receiving alarm: . .
Alarm: • •
Supervisory: .
•
Trouble:
If alarms are retransmitted to public fire service communications centers or others,indicate location and telephone
•
• numbers of the organization receiving alarm: .
•
•
Indicate how alarm is retransmitted: -
. • NFPA72j Chapter8--Central Station
Prime contractor:• _
• Central station location: • -
•
(NFPA 72,1 of 4) •
- • • Copyright NFPA .
•
Means of transmission of signals from the protected premises to the central station: -
McCuibh • Multiplex One-way radio
' X• Digital alarm communicator Two-way radio Others
•
Means of transmission of alarms to the public fire service communications center: .
(a) d/ /10/1./e.-- SySiCe. .
(b)
•
System bcation: _ C. get.../4 :0(77 ll g
NFPA 72,Chapter 9—Auxiliary . '
. . • Indicate type of connection: Local enorgy Shunt Parallel telephone .
Location of telephone number i£r receipt of signals:
2 Record of System Irist llatiat. .
(Fill out after installation is complete and wiring is checked for opens,shorts,ground faults,and improper branching,. , • _
but prior to conductingoperational acceptance tests.)
. This system has been installed in accordance with the NFPAstandapds ay shown below,was inspected by
- - - • on f l�l0 6, ,includes the devices shown
.in band 6,and has been in service since /g t7 6 •• .
_ s NIA 72, Chapter 2' 3 4 5 () 7 8 9 10 :1 (ceiole all that apply) . •
NFPA 70,Nah°. rucl Electneal Code,Article 760 '
, )(Manufacturer's instructions .-
. Other(slje`. . � .
Signed: %Lt�/Ze... ._ a . - Date: / �7 41
• .
-Organization: • ."-.- S 2e,-+.j'
it/eur
• 3.Record of System Operation •
D•ocunieutatian in accordance with Inspection TestingFbrxu,Figuro 10.6.23,is attached /.'
` All operational features and functions of this system were tested by PSG✓. date Y//9/r�G
and found to be operating properly in accordance with the requirements of. •
' • x NFPA 72,:Chapters(1 2 3 4 5 () 7 8Th 10 (circle all that apply) '
A
• NrPA 70,Natianal Elec#neal Code,Article 760 .
. X_Manufacture r's instructions •
. . .Other(epecl ):
Signed:. . �`` e∎ Date: !% 4I .
• Organization: /. ,�t�fTvs-Yd' G•�d
4.Signaling Line Circuits ! .
Quantity and class of signaling line circuits connected to system(see NFPA72,.T bk&a 1): • -
Quantity: Style: / Class:
- (NFPA72.2of4) -
Copyright NTPA
'5.AlarrwInitiating Devices and Circuits • • •
. Quantity and class of initiating device circuits(see NWA 72,Table 6.5): •
Quantity: Style Class: • •
` MANUAL • "
(a)Manual stations' Noncoded Transmitters Coded Addressable •
•
(b)Combination manual fire alarm and guard's tour coded stations_ •
AUTOMATIC .,� •
• Coverage: Complete -Partial X •
'
• Selective - Nonrequirod .
•
. (a)Smoln detectors Ion Photo Addressable - •
(b)Duct detectors ". _ Ion Photo Addressa ble f
(c)Heat.detectors - FT" RR - • FT/RR RC Addressable,, sQ •
(d)Sprinkler waterflow indicators: Transmitters • Noncoded . Coded Add ressable __
• (e)The alarm verification feature is disabled X' or enabled" . ,changed from 'seconds to seconds. .
(0 Other(list):
. - 6.Supervisory Signal-Initiating Devices and Circuits(use blanks to indicate quantity of devices)
• GUARD'S TOUR. . .
•
CO Coded stations . ` " - : • -
(b) Noncoded stations •
(c) Compulsory"guard's tour system•compased of "" transmitter-stations and intermediate stations •
' Note:(ambination devices are recorded under S(b),Manual,and 6(a),Guard's Tour
SPRThlKLE i SYSTEM" . ' • - - -
• • Chock if provided - •
• . (a) Valve supervisory switches
' (b) Building temperature points
. (c) ' Site water temperature points r
- (d) ". Site water supply'level points . .
•
Electric fire pump: . "
(e) Fire pump power - .
- (0 • ' rim pump running
- " (g) Phase reversal
Engine-driven fire pump: •
• (h) Selector in auto position . " :
• .(0 Engine'or control panel trouble . • -
(0 Fire pump running , " .••
ENGINE-DRIVEN GENERATOR: - •
•
-- (a) Selector is auto position .
- (b) Control panel trouble . . •
' • • (c) Transfer switches °'
•
- (d)- • .Engine running - f�,r
Other supervi ry�If�und�`oa(s)(specify): //Y�1'! 1//t j//,� t�MJI! ?—e � 2)c
(NFPA72,3of4). '
' Copyright NFPA . •" • . . •
•
•
7.Annunciators) �j r,7 -
Number: / Type: F XP Location: Ze C aL7L�{rli"r1 Vt G/fi j�y
8.Alum Notification Appliances and Circuits
NFPA 72,Chapter 6—Emergency Voice/Alarm Service
Quantity of voice/alarm channels: Single: Multiple:_
Quantity of speakers installed: Quantity of speaker scones: _
Quantity of telephones or telephone jacks included in system:
• Quantity and the class of notification appliance circuits connected to system(see NFPA 72,Table 6 7):
Quantity: c2 Style: e Class: e
'types and quantities of notification appliances installed:
(a)Bolls With Visible •
(b) Speake"rs_ With Visible
(c) Horns S WithVigible._._ se
(d)Chimes With Visible .
(e) Other: With Visible .
(0 Visible applianceswithoul audible: .
9.System Power Supplies .
(a)Fire Alarm Control Panel: Nominal voltage: /026 V4 L . Current rating. f /4N'fp
Overcurneet protection: Type: CJ'* lr ZR'e yr I& Current rating: / r /44-p
Location: Re c.. " .Sz4i1 /,"Afro I°S '5 I IL /el # •
(b) Secondary(standby): S'rA k tee_ c oStA
Storage battery: d Amp-hour rating: 7 n/�
Calculated capacity to drive system,in hours: c7 y
Engino.drivon generator dedicated to fire alarm system: .
Location of fuel storage:
(c) Emergency system used as backup to primary power supply:
Emergency system described in NFPA 70,Article 700:.
- 10_Comments .
Frequency of routine tests and inspections,if other than in accordance with the referenced NFPA standard(s):
System deviations from the referenced NFPA standard(s)are:
•
(signer . .ion cord;,•r r1 (title) (date)
( gned . alarm:ervi•• cal g. (title) - (date)
(signed)for central-(alien / (title) (dale)
Upon completion ofthe system(s)satisfactory test(s)witnessed(if required by the authority having jurisdiction):
.VV.)representative of ckg—arthority having jurisdiction (tile) (date)
(NFPA 72;d of a) .
Copyright NFPA .
FROM PATRIOT FIRE PROTECTION, INC. (THU)APR 20 2006 14 :03/ST. 14 :00/No. 6834436680 P 16
PiLECflON
CONTRACTORS MATERIAL& TEST REPORT FOR UNDERGROUND PIPING
I •-- -ser�... 76, -.-. ream..._. ,....,__marrrr�rxi^ utrvg=m ran . _. ..m„mr-„,PFQCEDIRE
Upon Completion Of week Inspection and mete shall be made by the contractor's representative end wlIniased sy an awneee repreeental1ve.All dereate.hall be corrected f'd ayatem left •
In'service before eeniraetor'e personnel finally leave the lob,
A oinks('.hail be lifted OW and signed by both representatives.Copies shall be prepared for approving authorities,owners.and contractor.If Is understood the owner'eraereihhl■dye's
Craniums in no way preJtrdfae,any claim against oontraotor for faulty maleflal,poor workmanship,or failure to comply with approving svlhOrlty's requirement,or IONS ordlnancea,
PFIO-ERTY NAME �, • A DATE • q�/j /(1��
P .PEanADO88 0 a DQ + 1a , 3 & e Ue !P �. . ' o (-``3- '
Tr
rt. BY APPROVING AUTHORITIES(NAME)
PLANS
INSTALLATION • •• a TO ACCEPTED ELAN' YE
EQUIPMENT USED IS APPROVED • DYES ❑NO
IF NO,EXPLAIN DEVIATIONS
HAS PERSON IN CHARGE OF FIRE EQUIPMENT B I STRU AS TO L TION • YE6 N
OF CONTROL VALVE AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT, •
IF NQ,EXPLAIN
INSTRUCTIONS •
' 'f - 0.■"13! e'' TH APPROPRIATE INSTRUCTION' AND •- AND '' NTENANCE C •'”6 • is
BEEN LEFT ON PREMISES? •
IF NO,@(PLAIN •
LOCATION PPLIES BUILDINGS _ e} I
PIPE 'TYPES i tO CLASS . • ! ' TYPE JOINTc j;}
PIPE CONF•• S T• 0. '.,'.' ;''ANQARO 4� N * • Np
UNDERGROUND F7T71NGS CONFORM TO ' 'SYAkJDI RD OYES ❑NO
IF NO,EXPLAIN"
PIPES s ' .
JOINTS AND JOINTS NEEDING ANCHORAGE CLAMP '4_3'RAPPED;QR BLOCKD IN ■YES ■NO
I. •• • � }
AANGEWITH ..• .. $TANI7ARD .
IF NO EXPLAIN �'-1, •
Il �tf,7 0 �y e� 4..... ,
FLUSHING Flow the required rate untll water la ale r. 5dlt;alpd by no conferee i'Of foreign material In buetap bags at outlet.such as hydrants and blow.
( -a `- one,Fluatf at tldwe net lees then'n40 GPM for 4•lnch pipe, IQf tp4h Plpai 1l13ii0�PM for&Inch pipe,2440GPM tar lfl Snch pipe,snd35 ]GPM tot 12•Inch
dVn fr CAN pipe.When eeppiy cannot produce ellpuiated how rates,abt Fm,ur1'srellahle.
TEST HYDROSTATIC Hydroatello teat.hall be Made It not ream then 200 psI for Iwo hours or CO pal above italic preaaure In excise of 160 MI for two hours. •
•IaEBCRIPI iQIJ LEAKAGE Naw pipe laid with robber geeketed lordte shell,If the workmanship Is aatiaractory,have little or no leakage et the Pete,The arnouM of leakage et
the Joint.shall net exceed 2 Elio,per hour per 100'aisle irreepegtive el pipe diemeter.The leakage shell be dlslrtpuled over all joints.If each leakage occurs at e
low lointe the Installation shall be conaldered uneetluTa010ry and neceveary metre made.The amount of allowable leakage speUfled above may be Increaued
by l fl,os par in.valve diameter per hour for each metal seated YEWS Isolating the teat whorl,if dry banal hydrants are tested with the main valve open,so the
hydrants era under pressure,an addlelonat 5 oz per minute leakage 1a permitted for each hydrant,
$, NEW UNDERGROUND PIPING FLUSHED ACCORDING TO $TAHgAAI!• YES NO
I gab`. 7 '/ BY(COMPANY)
U „y( / IF NO,EXPLAIN
HOW FLUSHING FLOW WAS OBTANED ' THROUGH WHAT TY
FLUSHING ' pIPURLIC WATER ❑TANK OR RESERVOIR ❑ FIRE PUMP ' ❑HYDRANT f9IJTT g OPEN PIPE .
TESTS
LEAD-INS FLUSHED ACCORDING TO . TANDiWd-- YE8 N•
BY(COMPANY)
IF NO,EXPLAN
HOW FLUSHING FLOW WAS OBTAINED THROUGH WHAT TYPE OF OPENING
❑PUBLIC WATER 0 TANK OR RESERVOIR ❑FIRE PUMP O Y CONN.TO FLANGE&SPIGOT ❑ OPEN PIPE
859 (•VER)
FROM PATRIOT FIRE PROTECTION, INC. (THU) APR 20 2006 14 :03/ST. 14 :00/No. 6834436680 P 17
ALL NEW UNOERGIT UNn PIPINi HYDR STATICALLY TESTED AT JQINTS CAVE D
HYDROSTATIC PSI FOR a. HOURS s DYES 0 NO
TEST
TOTAL AMOUNT OF • •CE MRA•UPED
LEAKAGE +GALS, _HOURS
TEST —'
ALLOWABLE LEAKAGE
GALE, HOURS
HYDRANTS
•I T :J- 1- iH . •11 II ,Iq+I � . Au.OP
EWER CONT VALVES LEFT WIDE OPEN d YES ONO
CONTROL IF NO,STATE REASON
VALVES
/T- HREAD;•• - DEAR MENT CONNECTIONS AND HYD- • S INTE' t EAGLE -'
WITH THOSE OF FIRE DEPARTMENT ANSWERING ALARM DYES 0 NO
PAT IN T RVMCE
REMARKS
NAME•F I ' ALLING CONTRACTOR CONTRACTOR LICENSER '..._
PATRIPP099OF
TESTS WITNESSED BY
SI4NATURE9 RTY O ER(SIGNED) T L!~ `DATE •
i I
it Mad ! Mack GAT kDS2 !�
Dj! ri pt H.?,
TIT r1 +� DATE,
,.. ...f�
/410 4riat. . Ade . �� s.,
I az''• T T TH IN 0171- I. ''R`, HE N IS T-U D THAT HIS SPRIN I • •1t "•Tz 11. •TIll e 7 rT,T•RD.
ANCE WIN RCW 18460 AND THE RULES ADOPTED BY THE WASHI GTON ADMINIST THE CODE AS ADMINISTERED BY
CERTIFICATION THE STATE FIRE MARSHAL
f AV(I ! Are-.
load"be.Af
7• NCY c ( TQRTTP4
•
y �♦.
't a CErrwcA of
CERTIFICATE REOI$TRATIQN i
DATE I'12,-0 4*
f/Dla" 111i1tYiW
wglisruu.DUr.,rturnw AND MO
wiS SACK NI iwilinifit.
'W44/1411i D-r16:11.1.4"
FROM PATRIOT FIRE PROTECTION, INC. (THU)APR 20 2006 14 :04/ST. 14 :00/No. 6834436680 P 24
An1101. - /
...
PRE PROMOTION
CONTRACTORS MATERIAL&TEST REPORT FOR ABOVEGROUND PIPING
PROCEDURE
Upon completion of work,in speotIon and tests shall be mad.by the corttre,otor's representative and witnessed by an owner's repro se ntative,Ail deem
WWI be ottrridted and system left In service before Contrector's persOnnit finally leave the job.
A certitioste eheil be filled out and signed by both rape santstIves. Coi:•Iss shall be propared for Approving authorities,owners,and Contractor. It le under-
stood the Orn101 Prix oisrstatiyea signature in no way projud Ices any claim against°Willow for'faulty material,poor workmanship,or failure to comply
With al3ProvirlaUthartty'S requIrern'e Me or local ordinance 0,
V---4,
DATE
PROPERTY ADDPESS
....4..,
We - ' R APP'' VI AUT •RI ( fly I
ADDRESS
TA,;11 '—d•-1.ATI N t, Ii5WMTIVRZEPTED PLANS --rEff . 175---
putts EQU j
IPMENT USED IS APPROVED S 0 NO
IF NO,E)(PLAIN DEVIATIONS
T: PERSON IN 0'7c E •F FIRE E•LAMENT BEEN INSTRUCTED • Is OP TION N YE N N•
OF CONThOL VALVE AND'CASE AND MAINTENANCE OF THIS NEW EQUIPMENT?
F NO,EXPLAR1
• •
HAVE irTs- : OF THE FOLLOWING BEEN LEFT ON THE PREM 01---177Fpco, N
1. SYSTEM COMPONENTS INSTRUCTIONS
INSTRUCTIONS 2 CARE AND MA DYES INSTRUCTIONS. YES 0 NO
3. NFPA 13A OYES El NO :I.gliS 1
i d ,
LOCATION SYSTEM # 1 ga At Sy S t V irl SERVES: 80,toim '' —A C42..) At
OF SYWIEll
y - sT al-1 • - 2 T•S•7 -1.1•1
MAXE MODEL MANUFACTURE SZE OU 'WIWI
M7ArritilliMIIIMIT2MILMI=MIMITWA7MMILF:4,1WIIIMEric--
SPRINKLERS INNWPI"MINN=WMIIMP71111•1 - .WITZSMIIIIMFAMMMT/110111111111pri*
aPrilrigon■IIMilireVIIIIIM - 60 IIIINYCIIIIIIMPPMENIMPrir '
.- - 11111.11M .•
1.111111111
,--.
PIPE MD TYPE OF PIK • lied— .
1---r-sto-t--- •
• . . ' / • _
Frrnties TypE of FITTINGS 6. Mid 4 645, d,e.(7%,,VP,,ann,j Jr a 1.1-8-del ._.
J
..... ' ...........
ALARM \ ALARM DEVICE PMXIMUM Time TO OPERATE
VALVE THROUGH TEST CONNECTION
OR FLOW TYPE. . MAKE maxi. MIN SEt ---
INDICATOR aiTMCIMS1141101111P)M11111FL1-0141MillillMMil■Ny. P
■ _._
1 .......M .41 /..
DRY VALVE • WOO, '
- ' roAKE mom. . 1 guummo. MAKE MODEL - SERI&NO.
•
..,,,..—
* TIME TLTrA7 -------r—nrEwATEr'---reARm
DRY PIPE THRU TEST WATER AIR MP POINT REACHED OPERATED
OPERATING CONNECTION PRESSURE . PRESSURE AIR PRESSURE S1LET PROPERLY
TEST ..—
MIN. SEC, PSI PSI PSI • MIN. SEC. YES NO
0.OD,
t- — —....--
,
(-- --
0.0,0.
' IP NO:MPLAili --- , . —
*MEASURED FROM TIME INSPECTORS TEST CONNECTION IS OPENED
(OVER)
FROM PATRIOT EIRE PROTECTION, INC. (TH€U) APR 20 2006 14 :04/ST. 14 :00/Nlo. 6834436680 P 25
OPERATION —
El PNEUMATIC 0 ELECTRIC ❑HYDRAULIC
DELUGE& PIP-7,87 UPEF MSED YES P NO DETE 'NG MEDIA SUPERVISED •YES •NO
PRFJICTIOH DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STAT N$ YES N
VALVES IS THl=RE ANI ACCESSIBLE FACILITY IN EACH CIRCUIT' OR ESTING IF N ,EXPLAIN
1--, ]YES, r ❑NO
?E EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO
MAKE MODEL SUPERVISION LOSS ALARM OPERATE VALVE RELEASE OPERATE RELEASE
• —
TEST HYDROSTATIC:Hydroatalla testa shall be made al not lass than 200 pal(13.8 bare(for two hours or 60 pal 17.4 hare)above static preseur.In mean of 160 Gel
•-4, DESCRIPTION 110,2 bare)tor!Sid hnUre,DIf tore rtlittl dry-pipe valr■clapper;shall be left open during test to prevent damage,ATI abova ground alpine leakage shall be slopped,
1PNEUMATIC:EetahlIah 40 pal(23 bare►air'weavers avid measure drop Which shall nat exceed 1.54 pal(Q,1 bars,In 24 henry,Taal pressu{e tanks it normal water
level and air praaavre and measure air pressure drep whlth 51re11 not Abased 1 r/pal(0,1 bars}In 24 hours,
177 .1,.••• 1 .•. yr un,'•L' TONI • 1/A . .e ... .-L f va -idT.•T.
_J..- , DRY PIPING PNEUMATICALLY TESTED •YES ONO
r EQUIPMENT OPERATES PROPERLY U YES LINO
•
r ( D 00 YOU FFY Ar6 THE SPRINKLER SYSTEM CONTRAC TOR TI-LIT AlOITNES AND OORRO!31VE CHEMII 1,3,SODIUM��
SILICATE Oft DERIVATIVES OF SODIUM SILICATE.BRINE,OR OTHER CORAoSIVE CHI=MIGAL$WERE NOT USED FOR TEST-
7'1031 No sYgTEms OR$70PPiN4 LErAK87 EYES 0 N
TESTS R%ADING OF GAGE LOCATED NEAR WAT . — !RESIDUAL PPIMUITWIRVALVE INV '
'T'EST SUPPLY TEST CONNECTION: '7 PSI CONNECTION OPEN WIDE PSI
i1NF OUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED SEP R2$�E GONN ;MN MADE TO-
SFRINKLER PIPING, •
VERIFIED BY COPY OFTHE U FORM NO,B98 ❑YES CI NO OTHER EXPLAIN
FLUSHED BY INSTALLER OF UNDER-
G riouND SPRINKLER PIPING OYES Q NO
• BLINK Tt'NUM i SED LOCATIONS '� NUMBER REMOVED
GASKETS
ED PIPING ....."="0"--0 NO
DO YOU CERTIFY AS THE 4PRINKLER CONTRACTOR THAT WELDING PE1OCEbURETCOMPLY �".
WITH THE REOUIREMMENNTS OF AT LEAST AWS D 1O.0,LEVEL AR3 D YES ❑NO
WELGINO DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN
;COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWE D10.9,LEVELAR•3 DYES ONO
DO YOU CERTIFY PERT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A
DOCUMENTED QUAIJTY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE
REPRIEVED,THAT OPENINGS IN PIPING ARE SMOOTH,THAT SLAG AND OTHER
WELDING RESIDUE ARE REMOVED,AND THAT THE INTERNAL DIAMETERS OF
PIPING ARE NOT PENETRATED DYES CI NO
CUTOUTS ''DC1 YXU CERTIFY THAT YOU HAVE A CONTROL FEATURE T6—TIRE THAT ALL
I OUTS a SCS ARE RETRIEVED? . • ❑YES ❑NO
5 ' 'lrl DOES AHJ REQUIRE A FUNCTIONAL FLOW TEST OF RESIDENTIAL SPRINKLERS? YEs NO
PLOWTEST WERE FUNCTIONAL FLOW TEST RESULTS SATISFACTORY? OYES ❑NO
DATA NAIw1E iC PLATE PROVIDED I .E] LAIN ""'� •
DYES ONO
REMARKS
DATE IN WITH ALL NTROF-VALVES OPEN: — —�_"
J . �U
NAME OF SPRINKLER VS NTRA ••r / Ar. . CONTRACTOR LICENSE it
• i PATRIFP099QF
TESTS WITNESSED BY
I
SIONATURIE S N — i TITLE
WRP—PROVING A •'I1-Y/ I �Jli f: �r.�u/ °/ —
a .. ' V.,'
1 RTI THA ' E IN ■• TION HEREIN IS TRU AND THAT THIS RINKIE• •YSTE WAS INST DIN ACCO
►NCE WITH RCW 18.160 AND THE RULES ADOPTED BY THE WASHINGTON ADMINISTRATIVE CODE AS ADMINISTERED BY
CERTIFICATION THE STATE FIRE MARSHAL
NAME OF TrnheICATE OF 061.4w€TENCY 1iQWCR(PRINT OR TYPE)
WerNATURk OF ceRT1RCATa OF COMPETENCY I-hOWcF1
CERTIFICATE REGISTRATION 0 DATE
Autxpo m.exfuru,rtea rr1U t4 EB
maces(