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17-18316
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17-18316
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Last modified
12/18/2017 2:16:38 PM
Creation date
12/18/2017 2:16:38 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
17-18316
Building Department - Name
UGO,REBECCA
Address
39047 SOUTH AVE
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� • - � � � G�as Service �n: <br /> �� ,� PROPAI�iE-GAS <br /> � AN� Af�. INC. Tankless <br /> -� � Heat� <br /> s�: <br /> Si�ce�988 8�3-782-5013 <br /> WORIi ORDER#lSERVICEMAN 1�39L COM <br /> SALES•SERVICE•REPAIR•INSTALLATION DATE/T I f�E TAN.EN �3/1�/17 15:48 <br /> �" -4441 Allen Rd.•Zephyrhills, FL 33541 TAKE�I BY SC �4 <br /> � a (813) 782=5013 DATE/TIh1E F�R0�IISED <br /> , CUSTOI�ER#k/LQCATI01� 1813� <br /> �' GHOf�E# 813-714—�9�J8 C <br /> NOTES: CCIfVTAGT E►T LL D 2 XOfV <br /> R(JUTE/SE�? CQh� <br /> � <br /> .� - , <br /> RYMA�i CONSTRUCTTOIV RYi�AI�. CDIVST — FOR REBECCA UGO <br /> • 36413 SR 54• • .:,9Q�47 SOUTM AVE <br /> � . . <br /> �EGHYRHILLS FL 33541 - ZEF'HVRHILLS FL33�41 <br /> � <br /> �-- <br /> y G�7�� �o�D � � l �cJ�h ��,e�� <br /> Start End Time Flow Lock Up System �Regulator Regulator Regulator Regul. <br /> .s Pressure Pressure • Held Pressure, . Pressure OK Code Condition Manuf. Mod <br /> Singie Stage __�-1AE:� ------- ---- ---�-W� - �,-IA�.� <br /> - ------- �- -- ---- ------ ------ ------ ---- <br /> Two �st PSIG PSIG PSIG PSIG <br /> � Stage <br /> ' 2nd • In. W,C. In. W.C. In. W.C. <br /> + „ <br /> Work Performed: <br /> y Descrlption Amount <br /> .� � � SeNICe <br /> �, � Appliance <br /> Material <br /> " � Tax <br /> i <br /> r : Qty. Part# Description G8S <br /> y Hazmat <br /> ,r <br /> Permit <br /> � Tank Lease <br /> � Total Due <br /> ' AMOUNT RECENED <br /> „ I have authorized and have authoriry to order the work as outlined above.I agree to pay all costs as represented in this document.if these charges are t� <br /> over for collection, I agree to pay reasonable attomey's fees if this invoice is placed in the hands of an attomey or collection agency for colfection. <br /> .� • ' • <br /> Customer Signature Date Technician's Signature Tech# <br />
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