HomeMy WebLinkAboutFire Alarm Testing 1986YARMOUTH FIRE DEPARTMENT
96 Main Strcct
South Yrrmouth, Mr.mchusctr 02654
6t7.398.22t2
T0r
EROMI
Naoe of Establlehtrent
Devld P. Akin
Chlef of Departoent
Test of Fire Ala,nu 'Syeteos
!{arch 7, 1985
P at*
In 1979 The Sovn of Ya:routh adopteit Seotion 26C of Chepter I4B of theI"laesa.hueetts Generar Lawg. ThlE raw oandated the lngtellatioa of flrEalaro eyeteos. rt ls the reeponslbirrty of the orrner to ualntaln and testthe.e ByBteEs as requlred by Sectrons 12oo.g. ) and 1215. r.2.e or the stateBulldlng code. Ehese teats are further requlred by the iode of MagaachueetteRegulatlons chapter 527 section 24.08. preaee cooiJ.ete the followlng for,Eantl retu:n then to Ihe Ya:;-oouth trlre Departnent by Mey 15, 1gg5. -
t o"t rfu(
Adtlrees [\ t4rw 5'l \Pr"<,ul IStreetSeotion o Iotrn lp Code
Addresa
Na.oe of Onner or Corpo lats Na$e \n r/4
AN.Street Clty or Iowa Z1p Code
Telephone ltuober(e)lAh^^
l'lana€€r I B Naee Sr^^,hl t:/1L,/1la
I'1a.na6er t e Addreea
Street Town Zip Code
Telephone Nunber ,r3-
(ovtn)
SUBJECT I
D&IEr
Telephone Nrr.rober(a)
(
)
(
.88
YAR]'IOOIE FINE DEPAffIT'IUT
Nane of PleElBe
AddreEE
rTNE AI.ANM TEST REPORT
PACE
'
Telephone
Control Parol
Annunc l, ator
Stard by Batte:y
Snoke Detectors
Eeet Deteotors
RrIl Statl.ons
8e).1s/Eorne
Sgrlnkler
Earper Switch
365 -()
ok
.ok
DetE
'- . servl,oo
aertrtce
eervl,ce
serv!.cs
Bsrtrlce
aervioe
genrio6
gervlco
serlrloe
ok
ok
NEQUIRED MTQUH}ISY OI'TEITS ON B^CK OF SEEET.
Serrlca Co[@ents
I,J A
/0
(/
e
to ma.nufacturer
Slgne ture
Conparqr Na.ue antl AddxeBB
N,.J
1,h4,,-
have lnepeo ted
prernlse
and the above t€Bt€d ltems are wor.lc1n6 aooordlng
c0@6nda 6.
Dete I >t/
)(
A q u,Jt
ok
-:-ok
--ok
\t
!
(l
L1
.),n I'
Recelved Ya:mouth Fire Departnent_
..88
IotBl Nuober of Guest Rooos Nuober of DrlliHngr_
hrffdlt6 flz Nuober of Rooaa
Bull(un8 14 ttr.raber of Rooos
hrlldlng ffI Nurober of Roons
rntello! corrldors (clrcle one) rBs No r! yea # ot corrldorg
!\rnotlone Rooma (clrcle one) IES NO If yee f of Aurotlon Rooua_
Gaue Roooe (clrcle one) yTs NO If yee f of Garoe goous
Bageoont (c1rc1e one) yEs No If yee (clrcle one) FULL pAxII./a,Ir
Nuober of Mal d C1o8ets
Iocatton of a.nnunclator panel
YATMOUTE I'INE DEPA.trIT'IEI,IT PACE 2
f.r. '-- j;7 ) t.t/ !1t " trf there -have been a^ny ad&Ltiong or dcre .ona of nu.uber of unltg sLnoe thoSprlng of I!8J pleeee fl1l out the follorlngr
Bulldlng ll Nrrober of Rootrs
tk l5a)p*t J_
Doeg tho SyBtetr roport ela:m to Central Offlca?
If Central Offtoe provlde naae of A]alo CoEpany
Na,ue of A1a,:co Coop
]E. N0
llar,L 5/) Dr-
SEECK OFF UrICE ['TPE SMOI(E
Slngle Statlon Battery_
Naoe of psxson fllllng out forr
A.C. Powered Low Volt
t'e h t^QV t A HAru
Tltle of person f11ltn6 out forxo
S1g'natur6 of pereon fllllng out fonn r ( /-lr'
Dete
sprlnkrer syeteo (clrcIe one) yEs No rf yea (clrole one) uE! Dnx
Does the SysteE lncorporate an elaru arurunolator panel? IEI NO
Nulber of Stora6o Closete
C
Addreas
telephone Nrlaber_
(t]
u )-7t