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00-9567
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00-9567
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Last modified
11/29/2006 7:22:55 AM
Creation date
9/14/2006 2:54:40 PM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
00-9567
Building Department - Name
H R INTERSTATE
Address
6042 RIDGEWAY
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<br />R= <br /> <br />EJ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71l1-8008 FAX 813-719-191D <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />00-3c;?'u <br /> <br />WATER ACCT. NO, <br /> <br />DATE ~ - c:2~-OO <br /> <br />=~ (fY 9'-7? <br /> <br /> <br />MAILING <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~- <br />INSTALL METER V-~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~ <br /> <br />o OUT CITY <br />.-L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />~ <br />---if" N ~u. .A??~ <br /> <br />-,,, <br /> <br />_ DATE <br /> <br />_ MISe. CHARGE <br /> <br />0..:..... <br /> <br />--~~"'..o-.._ <br /> <br />WORK COMPlETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />Retain white form in office at all limes. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Dept. to sign yellow form & return to office. <br /> <br />
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