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<br />...- <br /> <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />5335 8th Street <br />Zephyrhills, Florida 33540 <br />1-813-788-6611 <br />Date //- /7- ?--s- <br /> <br />. ~ (U <br />Name 2!~: ~-ez ~~_W) <br />Address \.?7'-- L ~()~ <br />legal Description .2Y- M6 ->>-39- <br />~?hk J1Fee <br />~3b.t, 17 Fee <br />,~3bb FFee <br /> <br />Building Perm. /I <br /> <br />~ 63;2..,57) <br />1> J7. ..5~ <br />9:l. I lllJ <br /> <br />Plumbing Perm. /I <br /> <br />Electrical Perm. /I <br /> <br />Mechn!. Perm. /I <br /> <br />Fee <br /> <br />No. of Sewer Conn. <br /> <br />-- <br /> <br />. /~I <br />No. of Water Meters / - _ <br /> <br />S;ZS; tT2J <br />~ K5 -: tJ7J <br />~,?/3'?L <br />'I..?,<.-5J <br />9..s-= 60 <br />-;lr...s:-1flJ <br />6~ 7--S(). /y <br /> <br />No. of Water Conn. <br /> <br />Transportation Impact Fee <br />Zone W + 1 % <br /> <br />~~~~1t21- <br /> <br />Total <br /> <br />Memo: <br /> <br />Iht<l!~ <br /> <br />./ Signature <br /> <br />WHITE: Bldg. Dept. <br />YELLOW: Utilities Dept. <br />PINK: Customer <br />