67 CIRCLE HILL ROAD - BUILDING JACKET
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CERTIFICATE OF COMPLETION
FOR
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A FIRE ALARM INSTALLATION t.
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The undersigned installer of a Fire Alarm System, plans of
which were previously approved , hereby certifies that the
installation ( or alteration ) of said Fire Alarm System has
been installed in compliance with the 'uidelines and provisions
of the Salem Fire Department and the State Building Code.
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Furthurmore , this installation has been tested in accordance .�
with the requirements of the Salem City Electrician and is
now ready for a final test by the Salem Fire Prevention Bureau.
Tests are conducted by appointment only. A representative of
the installer must be present for the test.
Complete instructions as to the use and maintenance of the system,
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have been furnished to the person (or persons ) for whom the
installation (or alteration ) was made.
Date / �I ��� Leo Installer J (LO
Loc,'.tionln�? cLrf�C Illi USignature- . _") rc.e.[
SLfS_ :L,-\ License
Fire Dept. Inspection:
Date j/ - '2/--
Inspected by:hj�: �<— �,,.,
Approved X Disapproved
Remarks:
cc : Building Inspector
Electrical Dept.
file flans filed in Box #16
Form #82 (rev. 7/76)
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