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01-0194
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01-0194
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Last modified
3/6/2009 2:43:05 PM
Creation date
10/3/2006 10:04:05 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
01-0194
Building Department - Name
FORSYTH,CLOIS
Address
NEWPORT DR
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<br />989907 <br /> <br />~~ <br /> <br />'EJ ' ,~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-71D-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />(J /_S7? <br /> <br />WATER ACCT. NO. <br /> <br />DATE ~-,;20-D I <br /> <br />~~~iER~ qV <+ 1? ~ ff.41 ~ /~ <br />~o;f. <br />~$.r-( I ~()1 <br />SERVICE ADDRESS ~7faS-D ~~f:Vl!;G1. -gP-. <br />'cr' WATER Pf>/t'il< <br />^" -;? I J)G& <br /> <br />- <br /> <br />MAILING <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE eX. <br />INSTALL METER ;( <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~, IN CITY <br /> <br />o OUT CITY <br />J No. OF UNIlS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BIll. <br /> <br />~,( J. <br />~ M. /1?'!,J.,tPl <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />INORK COMPLETED BY <br />& DATE COMPlETED <br /> <br />ORDER TAKEN BY <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Dept. to sign yellow form & return to office. <br /> <br /> <br />
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