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AUTOMATIC FIRE DETECTION AND ALARM SERVICE

Type (Circle One)

Description

Total

Detectors are installed in all areas, rooms, and spaces as defined in Standard NFPA 72 or NFPA 72E (National Fire Alarm Code) Chapter 5.

Selected Area

Same code requirements as total coverage but protection is only provided for specifically defined area(s) of the protected property. In addition selected coverage may include smoke detection at control units. Must describe details in Comments and Clarifications Section.

Partial

Deviations from Total or Selected Area Coverage. Protection provided is less then required by the code in some way. Number of devices and locations shall be specified. Must describe details in System Deviations Section.

Quantity

Quantity

Quantity

Quantity

Smoke Detectors _____

_____ Ion

_____ Photo

Duct Detectors

Ion

Photo

_____

_____

_____

Heat Detectors

_____

_____

ROR

_____

Fixed Temp

_____

Combination

Other:

Details:

_____

________________________________________________________

SPRINKLER SYSTEM WATERFLOW ALARM AND SUPERVISORY SERVICE Note: If all sprinkler risers and water shutoff valves are not supervised, show in deviations section.

Type of System: Quantity

_____

Wet Pipe

_____

Dry Pipe

_______

Waterflow Switches (Includes water pressure type)

_______ Sprinkler Valve Supervisory Switches

Other Supervisory Services: Quantity

____Water Pressure Devices

Quantity ____Air Pressure Devices

Quantity ____ Fire Pump Power Devices

____

Water temp Devices

____

Room Temp Devices

____

Pump Running Devices

____Water Level Devices Suppression System) Other Monitored Suppression Systems (ie - Hood ____ _____________________________________________________

© 2012 UL LLC

3 – Revised 05/21/2007

UL Form No. CS-ASD-FAS

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