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01-0054
Zephyrhills
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Building Department
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2001
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01-0054
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Last modified
3/6/2009 2:43:38 PM
Creation date
10/12/2006 8:20:38 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
01-0054
Building Department - Name
B F SMART
Address
LAURELWOOD
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<br />986758 <br /> <br />-= <br /> <br />o <br /> <br />PERFORMANCE BUSINESS PROOUCTS.INC. 813-7111-8008 FAX 813-719-7$111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />otJ,tt~J <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />/-:z..:2.-0 I <br /> <br />OWNER/ ~ Jld1s <br />RENTER ". 't!J ' <br /> <br />,/0"7 (!. 6?~dl <br /> <br />tI.h1U. .~ <br />MAIUNG 59 $0 -- ~ cut ~ r;' , <br />~~ FL J~eY . <br />SERVICE ADDRESS dUd~ )LIOaI. ~ 'iJT 7' <br />Y?(' WATER <br />SHUT OFF SERVICE 0 .Ao!. <br /> <br />o SEWER <br /> <br />1i <br />~ <br /> <br />o GARBAGE <br /> <br />TURN ON SERVICE <br /> <br />INSTAll METER <br /> <br />READ METER <br /> <br />o <br />o <br />o <br /> <br />~ IN CITY <br /> <br />CHECK METER <br /> <br />o OUT CITY <br />--1- No. OF UNI1S <br /> <br />OTHER <br /> <br />_ DEPOSIT AMOUNT <br /> <br />..3.r 1/ <br />/- ~ <br /> <br /> <br />,~ <br /> <br />_ AMOUNT lAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER T.lI.KEN BY <br /> <br />Retain white form in office at all limes. <br />SBnd pink & yellow forms to Water Service Dept. <br />Water Service Dept. to sign yellow form & return to office. <br /> <br /> <br />/- ~P--O I <br />
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