Figure: 28 TAC §34.618(3)

FIRE ALARM SYSTEM

INSTALLATION INSPECTION FORM

Project:

Address:

Primary Licensed Firm:

ACR No.:

DEVICE BACK-BOX INSTALLATION

Name of Licensee:

License Number:                                                                                  ACR No.:

Signature:

Date:

Problems Noted:

CABLE INSTALLATION

Name of Licensee:

License Number:                                                                                  ACR No.:

Signature:

Date:

Problems Noted:

DEVICE INSTALLATION

Name of Licensee:

License Number:                                                                                  ACR No.:

Signature:

Date:

Problems Noted: