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FIRE <br />ON SYSTEMS <br />ANSUL R•,O,In•tOZINSTALLATION OIESIGN SHEET <br />DATE 17 XtN aL <br />CUSTOMER AUTHORIZED ANSUL DISTRIBUTOR <br />Cc 1 <br />116GNAMe <br />A1S6sAME;..�.�,r. 11v':C .Jt•:c 1,11uy <br />NAM* loll -,;3 1J �� V <br />SILO I,I.Q.,./rTT I�'Tf� <br />STAIET &WrL rr b✓lit '1820I STREET ?'ACOM A jVJA 9$424- <br />a,Y. STATE A ZIParv. STATE a ZIP%Ii16SiS f 28 Q 1�- <br />FILL IN ALL APPROPRIATE DATA BELOW AND CAREFULLY SKETCH HAZARD LAYOUT ON INSIDE <br />SYSTEM f}VW r <br />Ma"(s) and serial numbers �NSuA► R-IOZ G Lepc . Lcz.. rn <br />Location - -- �1aall8f/4/Z�arF/g/z0 <br />Z6 2siI.SL1•!o ZIe 41 off7 Z<A�1gI1 <br />Nunnow of nozzles and Part No. 1t.+'SG9 <br />Number of deteaar(s) and degree rating swof f!uslie<f-as a "I K <br />Energy shut-off devices — type and size /` =AJArJIc'M- <br />GaA� ✓/1a.v'i <br />Location sy Orusl t ... . <br />O"W accassoly equipment provided (pull station. *Metric switches. etc.) and locatlon <br />(y�.evree <br />COOKING/MTILATING EOUIPM04T <br />Number of ducts) and size 1^4 WK3 TUA+J -14" PiRlvllTSIL <br />Hooa mze and oienum sae <br />)V-1w A 41-0" Joup <br />Maximum temperature determined at del Tor iocationts) <br />C,.00King Aooiianees and size of cooking Suraee. (NOTE: USt a0oiienees from left to right and maicate moss 7erng <br />protected. ) <br />x. <br />3. " dsf21D�71.i .6. <br />COMMENTS <br />We certify that 'he matorialoeuioment in this <br />{ns al la*ion Arm aeeemhlad within *he cr^no and inTent <br />_ of the Y- F ' ' °°° ing I17A 'urront iccroc and *he - <br />current UL 300 'i " "i^^ nan�al for the brand <br />material used herein. 'ae certify that our firm currently <br />holds `ar ^ry installa*i^n . cianses for the brand saµj^m"nt <br />Used heroin " i-u have anv Questions I please feel free <br />t0 call 922 _897 + ann-t22-7702 systems division <br />