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Brian Wits-on ADT Security Services
EF0001131 Marks Way
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Sdcu Miramar, FL 33025
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QUOServec Tet: 854-266-5066
Direct 854-266-5275
Fax 854-266-5180
miramarpermitdept( adtcom
UNfFORM NOTICE OF A LOW-VOLTAGE ALARM PROJECT
PERMIT LABEL#(IF REQUIRED) 4— `f ` ®`f DATE
PROPERTY ADDRESS: �l S� /U 1 A40-0-
CUSTOMER'S
40-eCUSTOMER'S NAME._ C
CUSTOMMER'S ADDRESS-.
C[TY:�'l J~0 Ljhgjff5 STATE FL Z[P CODE: TELEPHONE#• (Z�' - 3 3 9 3
EMAIL ADDRESS-
CONTRACTOR: ADT SECURITY SERVICES
ADDRESS 10785 MARKS WAY, MIRAMAR, FL 33025
TELEPHONE # 854-266-5066 FAX#854-266-5180 EMAIL MIRAMARPER 7DEPT(cbADT,C DM
QUALIFIER: BRIAN WILSON STATE LICENSE NUMBER: EF0001131
DATE PROJECT COMPLETED
SCOPE OF/WORK
(per !/�� �jv'�3 ia•� /�'�2H�1
NOTICE IS HEREBY GIVEN THAT A LOW-VOLTAGE ALARM SYSTEM PROJECT HAS BEEN COMPLETED AT
THE ADDRESS SPEC[FIED ABOVE
I CERTIFY THAT ALL OF THE FOREGOING INFORMATION IS TRUE AND ACCURATE AND IS IN COMPLIANCE
WITH ALL APPLICABLE CODES AND STANDARDS.
06AL[F[ER'S SIGNATURE