EL-14-1268 Brian Wilson ADT Security Services
` � Marks Way
ecu__.� _ eE�FO 1131 Miramar, FL 33025
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Services �°FT� Tel: 954-266-5066
2014 Direct 954-266-5275
Fax: 954-266-5180
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miramaroermitdept(a-adt.com
UNIFORM NOTICE OF A LOW-VOLTAGE ALARM PROJECT
PERMIT LABEL#(IF REQUIRED)��— I o J o DATE
PROPERTY ADDRESS: 71, AJE C12- -,T 'T
CUSTOMER'S NAME: A ox-, �4 E /1'c 6-+ p
CUSTOMER'S ADDRESS: 7f S pe 5'2 s ® � 7-
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CITY: 0-11719e s6a-&-s s6-sSTATE FL ZIP CODE: 33 ® 3 TELEPHONE# 50 "5- :31
EMAIL ADDRESS;
CONTRACTOR:ADT SECURITY SERVICES
ADDRESS: 10785 MARKS WAY, MIRAMAR, FL 33025
TELEPHONE#954-266-5066 FAX#954-266-5180 EMAIL: MIRAMARPERMITDEPTCacDADT.COM
QUALIFIER: BRIAN WILSON STATE LICENSE NUMBER: EF0001131
DATE PROJECT COMPLETED "r
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 AND IS IN COMPLIANCE
WITH ALL APPLICABLE CODES AND STANDARDS.
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QUA IER'S SIGNATURE