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<br />ITY OF ZEPHYRHILLS <br />UILDING DEPARTMENT <br />5335 8th Street <br />Zephyrhills, Florida 33540 <br />1-813-788-6611 <br />Date mll)l /J-., ItJtJY <br /> <br />::.. ~7P~~1f1{frf~-a~~fjr <br /> <br /> <br />legal Description <br /> <br />Building Perm. , <br />Plumbing Perm. , <br /> <br />90 Y r <br />'foLiC; <br />'/ c:J 'I Y <br />L/ cJ v9 <br />, <br /> <br />Fee UJIIIUf-D <br />Fee WIJIU?1J <br />Fee !All] IUf/J <br />Fee W~) /) ef) <br />~ clIOS. 7S- <br /> <br />. <br /> <br />~:2.J ~93. 7J'" <br />K cr5tO. 00 <br />CUll J Uti) <br /> <br />Electrical Perm. , <br /> <br />Mechnl.Perm. , <br /> <br />No. of Sewer Conn. <br /> <br />No. of Water Conn. <br /> <br />No. of Water Meters <br /> <br />I ;L II <br /> <br />Transportation Impact Fee <br />Zone ~/ <br />Misc. /2/I/JtJn I6A-S <br /> <br />- <br /> <br />+1% <br /> <br />,y <br /> <br />t?~. tot <br /> <br />Totaf/~ '2h. II <br />Memo: <br />u,~ Ua11fifvc .tvjS ~ <br />S~1-S~~ <br /> <br />Signature ,. <br /> <br />WHITE: Bldg. Oept. <br />YELLDW: Utilities Dept. <br />PIN K: Customer <br /> <br />t' <br /> <br />""'I <br />