EL-17-889 Ll0 CKEU-N_-OF i 531 Q
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UNIFORM NOTICE OF A LOW VOLTAGE-ALARM SYSTEM PROJECT
Owner's or Customer's Name: �an
Owner's or Customer's Address: 105:M►1 S1
City: -State:�- Zip Code:
Phone Number: 305 ` 205— LLo52-
E-mail Address: Pi ano caves @ amml- LOm
Contractor's Name: Mas i ec 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--I(,p —/12-
Notice
1ZNotice 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.
r
gnature of Owner,Tenant, Contractor, or Authorized Representative