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04-3035
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04-3035
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Last modified
3/6/2009 3:24:46 PM
Creation date
1/25/2007 3:15:28 PM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
04-3035
Building Department - Name
BACMAR PROP.
Address
4933 5TH ST
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<br />,96786 <br /> <br />~~ <br /> <br />EJ <br /> <br />PERFORMANCe BUSINESS ?RDDUCT$. INC. 813-719-800a FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHllLS <br />ZEPHYRHIUS, FL.ORIDA <br /> <br />\1 --. ~3C;Z ~' <br />\ <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />~~k:/ <br /> <br />OWNER/ <br />RENTER <br /> <br />" i . <br />f""\ I..- V t J 1 <br /> <br />~ <br />-) i t. / <br />n~Ct I -<..~ <br /> <br />(J1 <br />,Df \rJ...T , <br />/ <br /> <br />-;:;IC . <br /> <br />MAIL1NG <br /> <br />F)...-, /'// L,L/ <br />'x'X; re' / <br /> <br />Il.- ..zg~ <br /> <br />" / <br />;r;' _'''1./1" "t...L\. <br /> <br />,,,- <br />:.... <br /> <br />/ .to. <br />,~-...;.I'~~} <br /> <br />bIv fcf~ <br />~/ <br />/ , <br /> <br />:ly~" __~ 7' <br />~~'/ -L./ <br />/ <br /> <br />/ <br /> <br />SERVICE ADDRESS <br /> <br />~i "::?? <br />, .~, --' <br /> <br />c:: 'T'1 < / <br />/J/. <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE GY <br />iNSTALL METER W <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />~ WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />o OUT CITY <br /> <br />_ No. OF UNIlS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />-2, :' <br />; ! <br />/~ <br />I <br /> <br />- AMOUNT LAST BILL <br /> <br />-?-- <br />r '....LtI <br />'v <br /> <br />~. <br />J}\', '-::1 <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />'NORK COMPLETED BY <br />3. DATE COMPlETED <br /> <br />ORDER TAKEN BY <br /> <br />, '. .... J..--,' <br />.J-: - ~'- J( <br /> <br />ORDER GIVEN BY <br /> <br />vy ~/- <br />/". ,.~(/-;/'---<:2:::z-:::-~ ~~ /"' <br /> <br />~eTaln "mile :orm ,noffice at ail times. . /../ - <br />3end pink " '!eilow'orms '0 'Naler 5ervi<;:e crept <br />Naler3ePllce :Jept :D ,ign /eilow '"arm & ,ceturn :el office. <br />'./ <br />
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