ELC-14-699Brian Wilson
Security EF0001131
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UNIFORM NOTICE OF A LOW-VOLTAG
1- 33
PERMIT LABEL # (IF REQUIRED)
ADT Security Services
10785 Marks Way
Miramar, FL 33025
Tel: 954266-5066
Direct: 954-266-5275
Fax: 954266-5180
! miramarpermitdept@adt. com
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CUSTOMER'S NAME:
CUSTO ER'S ADDR SS: �� -I 1 I�G Z
CITY: P STATE FL ZIP CODE: TELEPHONE #
EMAIL ADDRESS;
CONTRACTOR: ADT SECURITY SERVICES
ADDRESS: 10785 MARKS WAY, MIRAMAR, FL 33025
TELEPHONE # 954-266-5066 FAX # 954266-5180 EMAIL: MIRAMARPERMITDEPTa-ADT.COM
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QUALIFIER: BRIAN WILSON ST TE LICENSE NUMBER: EF0001131
DATE PROJECT COMPLETED
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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 FOREGOING INFORMATION IS TRUE AND
ACCURATE.
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QU R'S SIGNATURE
UNIFORM NOTICE OF A LOW -VOLTAGE ALARM PROJECT
PERMIT LABEL # (IF REQUIRED) DATE
CUSTOM ER'S NAME:
CUSTOMER'S ADDRESS:
CITY:
EMAIL ADDRESS;
STATE FL ZIP CODE: TELEPHONE #
CONTRACTOR: ADT SECURITY SERVICES
ADDRESS: 10785 MARKS WAY, MIRAMAR, FL 33025
TELEPHONE # 954-266-5066 FAX # 954 266-5180 EMAIL: MIRAMARPERMITDEPT(a.ADT.COM
QUALIFIER: BRIAN WILSON STATE LICENSE NUMBER: EF0001131
DATE PROJECT COMPLETED
SCOPE OF WORK:
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 FOREGOING INFORMATION IS TRUE AND
ACCURATE.
QU R'S SIGNATURE
Brian Wilson ADT Security Services
Secure '�
EF0001131 10785 Marks Way
Miramar, FL 33025
Services
Tel: 954266-5066
Direct 954266-5275
Fax: 954266-5180
miramamermitdeptCcD-adt. ccm
UNIFORM NOTICE OF A LOW -VOLTAGE ALARM PROJECT
PERMIT LABEL # (IF REQUIRED) DATE
CUSTOM ER'S NAME:
CUSTOMER'S ADDRESS:
CITY:
EMAIL ADDRESS;
STATE FL ZIP CODE: TELEPHONE #
CONTRACTOR: ADT SECURITY SERVICES
ADDRESS: 10785 MARKS WAY, MIRAMAR, FL 33025
TELEPHONE # 954-266-5066 FAX # 954 266-5180 EMAIL: MIRAMARPERMITDEPT(a.ADT.COM
QUALIFIER: BRIAN WILSON STATE LICENSE NUMBER: EF0001131
DATE PROJECT COMPLETED
SCOPE OF WORK:
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 FOREGOING INFORMATION IS TRUE AND
ACCURATE.
QU R'S SIGNATURE