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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 !J-~-95- <br /> <br />Name v;?!IJ -Ck~A1~~'~' <br /> <br />Address .3 _, I ~~..I4A1.f At ' <br />Legal Description ;2. Y - .:J-b - ;l/ - .3 7' - <br />Building Perm. " S ;3 ~ G::, ;6 Fee ( 6 3 ~ 'L~Z, <br />Plumbing Perm. " ~ & &> r;; Fee f~, .j() <br />Electrical Perm. " ~ ,fJ b 0 E Fee r,; J.. ' tTV <br />Mechnl. Perm. " r-. Fee~ <br />~~IU"il-- ~ Lad (. r / 7, tJ7J <br />..5 ~,!J--' ov , <br />~ '/5-' dV <br />'(J/..?9'1 <br />. <br /> <br />1(3.S7 <br />. <br /> <br />. MiSC~,/fi1 4w 9,-Sh() -Lrl( 13'-; 60 <br />r:t~/?~1XU~ <-.'t~ ~/-/tI ~ )..,Rs-: /J?). <br />Total ~1.1) 'V: <br />~ (pIP'l., ~ <br /> <br />No. of Sewer Conn. <br /> <br />No. of Water Conn. <br /> <br />No. of Water Meters <br /> <br />/ - II' <br /> <br />Transportation Impact Fee <br /> <br />h/ <br /> <br />+ 1% <br /> <br />Zone <br /> <br />Memo: <br /> <br />~~p..J <br />Signature / <br /> <br />WHITE: Bldg. Dept. <br />YELLOW: Utilities Dept. <br />PINK: Customer <br />