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01-0391
Zephyrhills
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2001
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01-0391
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Last modified
3/6/2009 2:42:16 PM
Creation date
10/3/2006 2:48:22 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
01-0391
Building Department - Name
DEROCK,DOLORIS
Address
NEWAL DR
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<br />989907 <br /> <br />~ <br /> <br />EJ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />ol-3::2?3 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />OWNER/ <br />RENTER <br /> <br />WATER ACCT. NO. DATE h - ;2:;1:- 0/ <br /> <br />\~~ ~t:~~f:.i W~~ <br /> <br />3-if?Sf -~/f tJ <br /> <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~, <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 />-L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />f'1 AJ '*- ~ <br /> <br />_ AMOUNT LAST BILL <br /> <br />..~ <br />~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <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 Dep!. to sign yellow form & return to office. <br /> <br /> <br />~ <br /> <br />h- <br />
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