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16-16132
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2016
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16-16132
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Last modified
2/16/2017 1:38:32 PM
Creation date
2/16/2017 1:38:30 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
16-16132
Building Department - Name
MAHILUM,FLORDELIZA D
Address
4742 17TH ST
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STORE COPY <br /> N ' INSTAI.LATION SERVICES CUSTOMER CONTRACT-MWORK-INT/EXT/PATIO DOOR <br /> � <br /> N LOWE'S OF ZEPHYRHILLS,FL,STORE#1854 STORE PHONE: (813)838-9000 <br /> n. � 7921 GALL BOULEVAAD SALESPERSON:KENNETH NEALLEY <br /> EPHYRHILLS, FL 33541 SALESPERSON ID: 1832398 <br /> Document Print Date:03/21/2015 <br /> This is o�iy a i.iuoie ior ine mercnandise and services printed below.i his becomes an agreement upon payment and issuance ot a Lowe`s receipt,upon which the entire agree- <br /> ment, including the specifically completed pages of this document, the Terms and Conditions included with this document,the applicable portion(s) of Lowe's receipt, and any <br /> other addenda or attachments hereto,shall be referred to herein as this°Contract." <br /> PLEASE READ THIS EiVT1RE DOCUMENT INCLUDING THE"TERMS AfVD CONDITlONS" BEFORE SIGNING <br /> Lowe's Registration or Contractor license Number/Lowe's Contractor Name <br /> F(orida Contractor License Number CGCi 508417 <br /> I n <br /> n <br /> � Customer Name Nome Phone <br /> o $ LISA MAHILUM 201-341-2724 <br /> � Customer Address Other Phone <br /> � � <br /> �'`� 474Q 17TH ST 813-783-7387 <br /> � L <br /> M City State/Province Zip/Pos#ai Code <br /> 00 � ZEPHYRHILLS FL 33542 <br /> v� <br /> ti Installation Address <br /> L ' T 474017TH ST <br /> o Installation City Installation State/Province Installation Zip/Postal Code <br /> � � ZEPHYRHILLS FL 33542 <br /> MERCHANDISE AND INSTALLATfON SUMMARY <br /> . � <br /> MERCHANDISE SUMMARY <br /> 104434: EM-0203Z-SD : SOS:SOS BMTT UNFINISHED FG SMOOTH TC: UNFINISHED SMOOTH SURFACE S[NGLE DOOR UNIT EMERSON-Z1NC <br /> CAI1111NG : TRU LOGISTICS INCORPORATED-QTY 1 <br /> 209626:02018: STK: PVC LATTlCE 8-FT: PVC LATTICE 8-FT: EAST COAST MILLWORK DISTRIBUTI-QTY 5 <br /> 87028:30"X 79" IN7ERIOR L:SOS : SOS RB DF IN7"FLUSH DOOR :30"X 79" INTERIOR LAUAN : DOOR FABRICATION SERVICES INC-QTY 1 <br /> r�n 104434: EM-Q2Q3Z-SD: SOS:SOS BMTT UNFINISHED FG SMOOTH TC: UNFINESHED SMOOTH SURFACE SINGLE DOOR UN1T EMERSON-Z1NC <br /> � �CAMING :l"RU LOGISTICS INCORPORATED-QTY 1 <br /> a <br /> � Materials Price $ 1764.30 <br /> M ,� <br /> N <br /> e <br /> M <br /> O <br /> � <br /> � Store 1854 Project No.435692113 for LISA MAHILUM Page 1 of 7 <br /> � <br /> 0 <br /> N <br />^ <br />
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