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Site Address: <br />Pump and Alarm <br />(J C v C .L (C. i e <br />Company Name: <br />1. That a representative or I of my company has verifie <br />sounded by lifting the float switch and the alarm ligl <br />the float switch. <br />2. If applicable, that myself or a representative of my <br />Outdoor Filter Alarm sounded by lifting the float s% <br />Date: <br />Print Name: <br />Signed: <br />Please upload to your permit in <br />on Form <br />License #: 14 Cr <br />I that the Indoor or Outdoor Pump Alarm <br />t is on and that the pump was tested with <br />pany has verified that the Indoor or <br />and the alarm light is on. <br />when completed. <br />Final Inspection and certificate of compliance cannot be issued until this form is received. <br />