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� <br /> ' � RC/BH 6 D/E2 <br /> ' _� r�a <br /> Date _ <br /> F1RE PREVENTION BUtEAU <br /> 2801 OAKES AVENUE <br /> EYERE7T, NA 98201 _ <br /> (circle one) <br /> This is to inform you that as owner/manager/agent of the apartment house located o <br /> 1804 F�S+tiTT AVFl�I[tE, H�Dc�S BUUDIIiG ALL FiA�PS in Everett. the -, <br /> � at `" <br /> following fire protection requirements have been fulfilled as of ate . m <br /> _ .,.. <br /> �� <br /> PLEASE CHECK APPROPRIATE BOXES. <br /> .. ., <br /> N m <br /> • ,�, � A ne�+ fire extinguisher wit:� a minimuc :A Classification 1A-103-C h�s . =g <br /> been installed in each apartment as Qf ate �� <br /> . s -=i <br /> m <br /> � M <br /> .0 � <br /> g, The minimua UL rated lA-IOB-C fire extinguisfiers previously installed <br /> �_ <br /> 1 in each apartment have been inspected and the following required o� <br /> procedures have been perfornkd: �' � <br /> � p�����y The extinguishers are properly mounted and in place. m� <br /> � Mnually The pressure gauge indicated normal• N <br /> ❑ Mnualty <br /> The extinguislwrs are free of apparent damage or defect. g N <br /> ❑ Every 6 The six (6) year maintenance h a s b e e n p e r formed b y �m <br /> yeers or � �;�ensed service person. _ ° <br /> ar needed• � <br /> ❑ ' Every 12 Required hydrostatic test(s) have been performed by = <br /> years or �i�ersed service person. �+ <br /> as needed. Z <br /> 0 <br /> . -i <br /> .. <br /> n <br /> m <br /> �, q UL approved smoke detectar has been: <br /> � � Installed in each unit. � <br /> � Inspected and tested and is in operation in each unit. <br /> . date <br /> s i gned_ _ <br /> �..,.. _,...__.,. ..;,+�� -- <br /> r <br />