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04-2938
Zephyrhills
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04-2938
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Last modified
3/6/2009 3:25:09 PM
Creation date
1/25/2007 9:55:26 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
04-2938
Building Department - Name
TENBRINK,GORODN
Address
4909 TIMBERWAY
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<br />;~", <br /> <br />.~~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 313-719-8008 FAX 313-719-7919 <br /> <br />C~_ cr~ I.) <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHllLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />1 I' <br />,.; / <br />'-t / 'f! 0 'I <br />t <br /> <br />OWNER/ <br />RENTER <br /> <br />~ -n ' <br />I €1<\Dr'V1..k <br /> <br /><<:: <br /> <br />As See, <br /> <br />-7:' yo <: <br /> <br />MAIUNG <br /> <br />::::'02;:, L-bl''Yl-f <br /> <br />SERVICE ADDRESS <br /> <br />Lt q [c( -r "",ij Q ^' '""'---t <br />t,l I '-1/ i.._ ( <br /> <br />~T3-~ <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />!1l.--viATER <br /> <br />TURN ON SERVICE <br /> <br />GJ-/ <br />~ <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />iNSTALL METER <br /> <br />READ METER <br /> <br />o <br /> <br />~, CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br /> <br />/- <br />----1....- No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />--. <br />.., <br /> <br />,--1-- <br />/vv:..dr <br /> <br />--f;:' <br />//).-'1;~.'r <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISe. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />/ ~~ <br />-y - f - {.""// /LI <br />ORDER GIVEN 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 & retum to 0 ice, <br /> <br />
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