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21-1365
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21-1365
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Last modified
5/9/2022 6:49:04 AM
Creation date
5/9/2022 6:49:03 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
21-1365
Building Department - Name
KOLDEN,SHIRLEY
Address
6838 LUM DR
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PROPANE GAS Service Ord-'r/Pj0V Franklin <br /> Ll ANCID C INC. e osal <br /> nvoice <br /> _ - _ - _-- -__ ~3 -__--___^_� <br /> SALES ^ SEPJ ICE ^ REPAIR° INSTALLATION <br /> 4441 Alen Rd. ° iUe. FL33�41 WORK OR�ER#/SERVICEMAN 11�04g ' <br /> DATE/TlME TAKEN <br /> PAY ONLINE @www.bshxspro /mmgasamdac_cmmm TAKEN BY TAMMIE IS7 <br /> DATE/TIME P170MISED 01/13/21 08:'00 <br /> NOTES: _ 0 CUSTOME �#/LO�ATION 19533 <br /> PHONE# 218-9S9-�196 <br /> ROUTE/S�Q DEC */' <br /> ' <br /> KOL»A-ov SHIRLEY <br /> 2020' 3RD AVE E APT 206DR '~ � <br /> VALLEYDALE <br /> HIBBIiV�� MN 55746 ZEPHYRHILLS F1.3 <br /> PH5530AKA3, L 9 8 988 <br /> 2. 5 TON TEMPSTAR .PKG HEATPUMP <br /> ' <br /> ESTIMATE F-OR NE1W UNIT- ^ ' <br /> Pk P <br /> etc <br /> 4 1 FILTERS X X Changed Monthly <br /> REGULAR 0 WARRANTY <br /> hen here hen Away T-Stat MAINTENANCE CONTRACT <br /> SERVICE <br /> LIMITED WAKKANTY: AN materials,parts and equipment are warranted by the manufacturers' CALL <br /> or suppliers'written warranty only.AJI labor performed by the above named company is warranted for 0 <br /> 3D days or as otherwise indicated in writing.The above named company makes no other warranties, LICASH El CK# TOTAL <br /> express or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS <br /> behalf of above named company. Q DEBIT Q CREDIT 0 OTHER MAINTENANCE <br /> I have authority to order the work outlined above which has been satisfactorily completed.I agree that Seller PROG. W/ C <br /> retains title to equipment/materials furnished until final payment is made.If payment is not made as agreed, C M <br /> seller can remove said 04ullsment/materials at Seller's expense.Any damage resulting from LAI <br /> BE ADDED MONTHLY TO <br /> not be ths r0sPonsbilitY of Sefler NET 30 DAYS.A 1 112%SERVICE CHARGE WILL said removal shall <br /> ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED <br /> TECH: TAX <br /> CUSTOMER SIGNATURE DATE TOTA�� <br />
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