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Brian Wilson ADT Security Services
EF0001131 10785 Marks Way
S�urtty Miramar, FL 33025
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Services - � � � Tet: 954-266-5066
Direct 954-266-5275
AUG 2 9 2014 Fax 954-266-5180
miramarpen-n Ment(cb-adt.com
UNIFORM NOTICE OF A LOW-VOLTAGE ALARM PROJECT
PERMIT LABEL;9 (IF REQUIRED) % �� DATE
PROPERTY ADDRESS: /y/e:
CUSTOMER'S NAME:
CUSTOMER'S ADDRESS: ,/Q 4cZ
CITY: l �/>�� STATE FL ZIP COD TELEPHONE
EMAIL ADDRESS,
CONTRACTOR: ADT SECURITY SERVICES
ADDRESS: 10785 MARKS WAY, MIRAMAR, FL 33025
TELEPHONE # 954-266-5066 FAX#954-266-5180 EMAIL MIRAMARPERMITDEPT((pADT.COM
QUALIFIER: BRIAN WILSON STATE LICENSE NUMBER: EFOD01131
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 AND IS IN COMPLIANCE
WITH ALL APPLICABLE CODES AND STANDARDS.
QUALIFIER'S SIGNATUREChGGO� b 3 03