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<br />Smoke & CO
<br />Alarm Affidavil
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<br />: Prof6ctAddr€s.:?aazt)a-_! € t
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<br />umber:
<br />Orrrer:
<br />Contractor:
<br />State of Califot
<br />butidings.
<br />lcheck oncl tr Licensed Contractot
<br />cafrlqlnl3 Reldeotral codelcRC)sectton83lolaodRll5.zstateJrnpa.tth3telsa,.E.a/.,..?,.;.1-\"tetrotitted wrth rmole:larms ano c:rloon monorrde alarms. CnC Sethe requlred localions. 'ruc 't'atms' LxL sectron R314 3 and R.3 l J 3 3 d+' ^e
<br />fl * *=, bebs mgsr be chccl:d:
<br />d-ru, rr-r-*r. :brms: Ar,
<br />bedrooms and also on
<br />""at, t*"t"-Llalled
<br />o.utsrde.of lach steeprng area in the ,mmpdrate yra,4,t, oi
<br />"pptian."r ii " r,oi ;;;'"'il :H:#JI:.IT.' :',ffirequrred 'n
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<br />E*notr ehrms, Are injtalted in each room uged lor Jieeprng, rn eath halhr3y outside oi a ,tefp.^Eroom, and on each levelof the dwe,lrng
<br />Retrofitted detectors nrav be battery-operated for burrdings where no ,nterior arteratlons nrEpedormed. Combtnatron SrnoIp/CO atarms must c"ap,, *ui ", "Ootrcable Stindards ,n6 br. dp9ro,.e{by.he StaE Fir? Marshau (SFrt) Battery tite m1;;;;;;";;"" ",
<br />I hereby cenify thet l am th€ contractor or the property owner of the above pro,ect r furth€r ce4,fythat smoka alarmi and carbon monoxde alarms have beun ,ir,iifui ,n ,o*p,nn(e wrth rhe gcv?rnixg
<br />:T^:i::,Xl?:,*ltested to be funct,onal r, ar,o, i",Jr.un,rrin",, *,* ,ur.,r r,.,; r;;;;;;;;;:-
<br />License #:
<br />nra tequiret that rmoke and carbon monoxtde {COi alar$t arg rr9la,r.c rr .e-r,C...a a
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<br />Propefty 0an6r
<br />Noltt f'|*s scttaalificotion is only uscd rot ,,mieds that o*.d th. Exf'nroe ol the ,tru<tue- rhisprx's' rt agptlcobte o*rr to gr?ic.ts whe* acccss ao thc'"iii or the awaring bv o santo Anolnt,''ctot l, not rcquirad.
<br />Slgnaturc:
<br />Have thr! comprared form snd rho jobrard readiry availabte on tine, inspecrion!
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