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http://salem.patriotproperties.com/PictureView.asp?IMG=sketch/5000/684001.jpg 11/17/2008
Sib Fee Due$M.9E 44��
City of Salem, Massachusetts Ck.#
am FIRE DEPARTMENT-FIRE PREVENTION BUREAU Rec'd by:
29 Fort Avenue
Salem, Massachusetts 01970-5232
(978) 745-7777 iF
Office Hours:(8-9 A.M.)and(1-2 P.M.) (Date)
PERMIT TO INSTALL • FIRE ALARM DEVICES
Permit is hereby granted to install approved fire alarm devices.All equipment and wiring are subject to approval of Salem Electrical Dept
Location: C- Su / /At l Ifa Q—�' Owner
Installer. /lJb ! G e�r� 4/2G / !rf L License* l2 f la
Installer shall note special equipment required, as listed on reverse side. UPON COMPLETION,THE INSTALLER SHALL REQUEST AN
APPOINTMENT AT LEAST ONE WEEK PRIOR TO TEST,BE PRESENT FOR T.AND SIGN A CERTIFICATE OF COMPLETION.
(ft attire d Fire Olrreial)
t' /v
T O '
(rive)
Date of expiration:=7 r t� —
(THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES)
Form*81F(Rev.04/92) (OVER)
NOTICE: ALL INSTALLERS ARE RESPONSIBLE FOR THE FOLLOWING:
1. All equipment and devices shall be U.L or F.M.type.
2. All zones(if required)shall be approved prior to installation of system.Zone plates shall be of a permanent type,and attached with non-
returnable screws or rivits.if back lighted type,be sure to list approved zone completely.
3. The A.C. power shall be provided by use of a circuit breaker. Said circuit breaker shall be painted red, and provided with a screw
lock.
4. A Sq.D 9001 KS11 K3 approved silence alarm key switch,with approved plate,shall be installed when any system has a fire alarm panel.
Switch may be located on the fire alarm panel or the annunciator,as approved by the fire official.
5. An audible trouble buzzer shall be located in a common haJlwayorarea open to the occupants.This audible buzzer shall be located on the
exterior of any fire alarm panel or annunciator,to provide adequate audible volume.
6. Any deviation from approved plans orapproved listing of devices,or approved location of said devices,shall require a request in writing,to
the fire official.Request will be approved if the original intent and approval is not compromised.
7. Failure to request an appointment for testing of devices,shall be considered a violation of the fire code,and such action as deemed
necessary shall be taken.
8. The installer shall have tested all equipment and devices,prior to test appointment time.
9. Adequate notice(one week)is required for appointments Fire Emergencies may require a cancellation of any appointment