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Application for Equipment Authorization FCC Form 731

Applicant's complete, legal business name:  UTC Fire & Security Americas Corporation, Inc.
FCC Registration Number (FRN):  0005832522
Mailing Address
Line one: 2955 Redhill Avenue, Suite 100
Line two:
P.O. Box:
City: Costa Mesa
State: California
Country: United States
Zip Code: 92626

FCC ID
Grantee Code: B4Z Product Code: 8NW60-002-0AA

Person at the applicant's address to receive grant or for contact
First Name: Konstantin
Middle Name:
Last Name: Khrustov
Title: Compliance Leader
Telephone Number: 949-737-7815 Extension:
Fax Number: 949-737-7882
Email: Konstantin.Khrustov@fs.utc.com
Mail Stop:

Instead of applicant, FCC is authorized to mail original grant to:
Person at above address to receive grant:
Firm Name: Dash, Straus & Goodhue Inc
First Name: Isidor
Middle Name:
Last Name: Straus
Title:
Mail Stop:
Line 1: 593 Massachusetts Ave
Line 2:
P.O. Box:
City: Boxborough
State: Massachusetts
Country: United States
Zip Code: 01719

Technical Contact
Firm Name:
First Name:
Middle Name:
Last Name:
Line 1:
Line 2:
P.O. Box:
City:
State:
Country:
Zip Code:
Telephone Number: Extension:
Fax Number:
E-Mail:

Non Technical Contact
Firm Name:
First Name:
Middle Name:
Last Name:
Line 1:
Line 2:
P.O. Box:
City:
State:
Country:
Zip Code:
Telephone Number: Extension:
Fax Number:
E-Mail:

Long-Term Confidentiality
Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:   No

Short-Term Confidentiality
Does short-term confidentiality apply to this application?:   No
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):  
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Grant Deferral
Does the applicant request that the Commission defer grant of this application pursuant to 47 CFR § 0.457(d)(1)(ii)?   No
If so, specify date when grant may be issued (MM/DD/YYYY format):  

Software Defined/Cognitive Radio
Is this application for software defined/cognitive radio authorization?   No

Equipment Class
Equipment Class:   DSC - Part 15 Security/Remote Control Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant):

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Does not apply

Application Purpose
Application is for:   Original Equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   No
Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?   No

Equipment Specifications
Line
Entry
Lower
Frequency
Upper
Frequency
Power
Output
Tolerance Emission
Designator
Microprocessor
Number
Rule
Parts
Grant
Notes
1 319 319 % 15C
2 340 340 % 15C

Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:  
First Name:  
Last Name:  
Telephone Number: Extension:
Fax Number: 
E-mail: 

Equipment Authorization Waiver
Is there an equipment authorization waiver associated with this application?  No
If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?:  No

WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).

SECTION 5301 (ANTI-DRUG ABUSE) CERTIFICATION:
The applicant must certify that neither the applicant nor any party to the application is subject to a denial of Federal benefits, that include FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 862 because of a conviction for possession or distribution of a controlled substance. See 47 CFR 1.2002(b) for the definition of a "party" for these purposes.

Does the applicant or authorized agent so certify?  No

Applicant/Agent Certification:

I certify that I am authorized to sign this application. All of the statements herein and the exhibits attached hereto, are true and correct to the best of my knowledge and belief. In accepting a Grant of Equipment Authorization as a result of the representations made in this application, the applicant is responsible for (1) labeling the equipment with the exact FCC ID specified in this application, (2) compliance statement labeling pursuant to the applicable rules, and (3) compliance of the equipment with the applicable technical rules. If the applicant is not the actual manufacturer of the equipment, appropriate arrangements have been made with the manufacturer to ensure that production units of this equipment will continue to comply with the FCC's technical requirements.

Authorizing an agent to sign this application, is done solely at the applicant's discretion; however, the applicant remains responsible for all statements in this application.

If an agent has signed this application on behalf of the applicant, a written letter of authorization which includes information to enable the agent to respond to the above section 5301 (Anti-Drug Abuse) Certification statement has been provided by the applicant. It is understood that the letter of authorization must be submitted to the FCC upon request, and that the FCC reserves the right to contact the applicant directly at any time.

Signature of Authorized Person Filing: 
Title of authorized signature: 

Complete items below if agent signs the application:

Firm Name: 
First Name: 
Middle Name: 
Last Name: 
Line 1: 
Line 2: 
P.O. Box: 
City: 
State: 
Country: 
Zip Code: 
Telephone Number:  Extension: 
Fax Number: 
E-mail: