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UMFORM NOTICE OF A LOQ/ VOLTAGE-ALARM SYSTEM PROJECT
Owner's or Customer's Name: 3a•'rh
Owner's or Customer's Address: /(o0n NC I f!;gr0--_9F
City: State: f:C, Zip Code: 33/3"Y
Phone Number: 305- 757 999
E-mail Address: Mo-v-A i 2 �.Goof• Cgr
Contractor's Name: MasTec North America.
Contractor's Address: 806 Douglas Road 10th Floor
City: Coral Gables State: FL Zip Code: 33134
Phone number: 786 270-4096
Contractor's License Number: EC0002759
Date Project Completed:
Scope of Work: Install Burglar Alarm
Label Permit Number: A—1 f,
Notice is hereby given that a low-voltage alarm system project has been completed at the
address specified above. I certify that all of the forgoing information is true and accurate.
Fgnature of Owner,Tenant, Contractor, or Authorized Representative