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SYSTEM RECORD OF COMPLETION (continued) <br /> 9. NOTIFICATION APPLIANCES <br /> Type Quantity Description <br /> Audible <br /> Visible 4 Wall Mount Strobe Only System Sensor <br /> Combination Audible and Visible 3 Wall Mount Horn Strobe System Sensor <br /> 10. SYSTEM CONTROL FUNCTIONS <br /> Type Quantity <br /> Hold-Open Door Releasing Devices <br /> HVAC Shutdown <br /> Fire/Smoke Dampers <br /> Door Unlocking <br /> Elevator Recall <br /> Elevator Shunt Trip <br /> 11. INTERCONNECTED SYSTEMS <br /> � This system does not have interconnected systems. <br /> ❑ Interconnected systems are listed on supplementary sheet . <br /> 12. CERTIFICATION AND APPROVALS <br /> 12.1 System Installation Contractor <br /> This system as specified herein has been installed according to all NFPA standards cited herein. <br /> Signed: Printed name: David Saucier Date: 12-30-16 <br /> Organization: City View Electric Inc. Title: Service Manager Phone: 651-659-9496 <br /> 12.2 System Operational Test <br /> This system as specified herein has tested according to all NFPA standards cited herein. <br /> Signed: Printed name: David Saucier Date: 12-30-16 <br /> Organization: City View Electric Inc. Title: Service Manager Phone: 651-659-9496 <br /> 12.3 Acceptance Test <br /> Date and time of acceptance test: <br /> Instal(ing contractor representative: <br /> Testing contractor representative: <br /> Property representative: <br /> AHJ representative: <br /> Copyright 0 2012 National Fire Protection Association.This form may be copied for irWividual use other than for resale.It may not be copied for commercial sale or distribution. <br /> ip. 3 Of�j <br />