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17-18316
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2017
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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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. <br /> � -� � � - PROPANE�GAS�� ` " =as = =ervi ce � <br /> --� - _ AND AIC atvc: TanHeat i <br /> ;�:, <br />' �: <br /> �KGe��88. , $'�3��82•50'I3 WORI'. ORDER#ISERVI_CEMAN 1`39L COM <br /> SALES•SERVICE•REPAIR•INSTALLATION DATElTTI�E TAN.EN �+3/15/17 1�:48 <br /> �" 4441 Allen Rd.•Zephyrhilis, FL 33541 � TAN.EhI PY SC �4 <br /> + a � (813) 782-5013 DATE/TIh�1E PROI�ISED <br /> . CLlSTOf�ER#k/LOGAI"TQi�I i813� <br /> � F�HOiVE# 813-714—�►9`�8 C <br /> NOTES: CCIfVTAGT L�I LL D T XOhI <br /> .�_ , <br /> FcDUTE/SEG? C01� <br />� � <br /> RYI�AI� CONSTRUCTIOhI RYi�AI� COI�ST — FOR REHEC.CA UGO <br /> ; �641.:, �F� 54• ,:,��47 SOUTM AVE <br /> �. . <br /> � ZEPHYRHTLLS rL ��541 ZE�'HVRHILLS FL33�41 <br /> � � <br /> �' �'�,��rtr-u.� /�D ; � l �� �� � , <br /> Start End Time Flow Lock Up System fZegulator Regulator Regulator Regula� <br /> .y Pressure Pressure • Held Pressure-. Pressure OK- Code Condition Manuf. Mode <br /> � Single Stage ---���. ---- —�—��.� — ��.� <br />' � — ------ ------- -- • --- ------ ------ ------ ---- <br /> Two �St PSIG PSIG PSIG PSIG � <br /> y Stage - <br /> I ' � 2nd • In. W.C. In. W C. In. W.C. <br /> ,�• <br /> Work Pertormed: <br /> �, Description Amount <br /> ' ,. ' Service <br /> �, '�t', ^ Appliance <br /> , Material � <br /> �, � ' _ - Tax. <br /> k : ; Qty. Part# Description G8S <br /> ,, ' Hazmat <br /> y - Permit ' <br /> Tank Lease <br /> „ � _ Total Due <br /> ' � AMO.UNT RECENED <br /> ,,, I have authorized and have autfiority to order the work as outlined above.I agree to pay all costs as represented in this document,if these charges are tur <br /> over for cbllection, I agree to pay reasonable attorney's fees if tfiis invoice is placed in the hands of an attomey or collection agency for collection. <br /> � : -� <br /> .Y • ' • <br /> Customer Signature Date Technician's Signature Tech# <br /> I <br />
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