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18-20192
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18-20192
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Last modified
5/29/2019 6:52:50 AM
Creation date
5/29/2019 6:52:49 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
18-20192
Building Department - Name
J & G RESTAURANT PROPERTIES LLC
Address
5039 1ST ST
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• • <br /> nimst.11 <br /> CPRO essePANE'GAS`P NI ////����CC /pp/er� Tan at r <br /> --.,-,AND AIC::INC� WORK. ORDER#/SERV -;ICEMAN � 43900 <br /> cl�cee 1988 813-782-5 13 'DATE/TIME- TAKEN' 08/E3/1'8 14-e c5 <br /> .TAKEN BY - ; JM 0.3- <br /> SALES •SERVICE • REPAIR• INSTALLATION DATE/TIME PROMISED - <br /> -4441-Allen Rd:•Zephyrhifls,-FL 33541 CUSTOMER#/LOCAT ION _'8034 - <br /> _. - (813)-782-5013 - PHONE# _ .. 813-713-0094. C. <br /> - . - PHONES# _., - - .. .8.13-782-7770 R <br /> NOTES: PHONES# REST PH# <br /> CONTACT.... ------ GEORGE--I'LLES-- <br /> -- .- _ __..' .:'ROUTE/.SSG! _ -. . -COM - -. <br /> THE'--GREAT-CATCH• ************** THE-GREAT CATCH******* <br /> 5039 1ST ST 5039 1ST ST <br /> ZEPHYRHILL'S- FL- -3354 <br /> 1.. _ _ _..._ _-ZEPHYRHhLLS- FL33541 ._ ;- <br /> _. 500GAL_..- . PRESS ,TEST-ON FILE <br /> REPIPE LP GAS' LINES FOR KITCHEN REMODEL. " <br /> —mot -- —_—End__ ^�ia�a-_ --F�e'r�--- —Lock=liP— —&®guJator._ &egUlator_ F3egulator <br /> --.. . --• Pressure.-- -., Pressure- Held- ---Pressure Pressure -__ _ OK.- - .'_Code . -Condition.-._.-_Manuf...._. Model_ <br /> Single Stage In.W.C. In.W.C. In':W.C. <br /> Two <br /> st PSIG.- PSIG PSIG .-. _"PSIG <br /> Stage--:--.1 <br /> - -_.,..2nd- .._._. .In:..W.C. - -In.W-''C. . .In.-W.C. — -..-.....__...__ <br /> Work Performed: - <br /> - Description -- -Amount <br /> Service -..... . <br /> 5 <br /> Appliance._.._ <br /> Material <br /> � <br /> Qty. Part# Description; Gas <br /> y Permit:-. ._:r: <br /> �. Tank Lease <br /> Total- <br /> AMOUNT,RECEIVEP. . <br /> I have authorized and'ha* i'a hontq to'order the wor'k as oiiflined abo4J agree to pay all costs as represented in this`document:If these ctiargesare turned over <br /> for collection,I agree to`payreasoriable'attomey s fees if tfiis'invoice' is placed in the hands of.an.attorney or dollecfion'agency for_collection. <br /> Customer Signature Date Technician's Signature Tech# <br />
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