EL-14-2002SEP IS 2014
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UNIFORM NOTICE OF A LOW VOLTAGE -ALARM SYSTEM PROJECT
Owner's or Customer's Name: �Shl2� .D. WCcO
Owner's or Customer's Address:
City: P i X'K.- State: i- • Zip Code: Z30V
Phone Number: — 7'l a. -q 7 L/
E-mail Address:
Contractor's Name: MasTec North America
Contractor's Address: 1750 North Florida Mango Rd #106
City: West Palm Beach State: FL Zip Code:
33409
Phone number: 561254-8610
Contractor's License Number: EC0002759
Date Project Completed: q—a —Zol7
Scope of Work: Install Burglar Alarm I
Label Permit Number: A — —0,5 6 �e-he
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Notice is hero given that a low -voltage alarm system project has been completed at the
address sp fied above. I c'AXy that all of the forgoing information is true and accurate.
9
Signature of Owner, Tenant, Contractor, or Authorized Representative