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04-3038
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2004
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04-3038
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Last modified
3/6/2009 3:24:44 PM
Creation date
1/25/2007 3:21:39 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
04-3038
Building Department - Name
BACMAR PTOP.
Address
4923 5TH ST
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<br />CITY OF ZEPHYR HILLS <br />ZEPHYRHILLS, FlORIDA <br /> <br />~. ,~ -q;.? ~ <br />. ~ -.:j O'W <br /> <br />WATER ACCT. NO, <br /> <br />-- <br />......." i _, <br />DATE ,/. '-f <br /> <br />.,... :./ <br /> <br />OWNER/ <br />RENTER <br /> <br />" \ <br />i-I <br />, !. <br /> <br />J! VI <br /> <br />.--Q / -t-. 1 <br />{:..-1::~{1 Ii l.::. [/ <br />/ <br />LL c.2#?.o <br />F/ <br /> <br />~ <br /> <br />/)..' <br />(/ \'1/ I" r. .- /_/ p; ,......"! <br />_o.iJ i.-'.~"'rt' , J.... <br /> <br />, <br /> <br />MAILING <br /> <br />'-":,iili <br />.~. ..;<.. -r (C '-( <br /> <br />I I ,7 <br />JOt/"'/d <br /> <br />.i-/i. V'- r:.4... I. <br />LI, t2 .2 2 <br />SERVICE ADDRESS l ] - :2 <br /> <br />Li . v';' <br />., ""'./)c. e. ..? <br />C~ <br />'....) <br /> <br />,~ <br />J Y &.3 r <br /> <br />.Lc~ <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />~WATER <br /> <br />TURN ON SERVICE <br /> <br />0., <br /> <br />o SEWER <br /> <br />INSTALL METER <br /> <br />G:Y <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />/ <br />/ <br />!:y/ IN CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br /> <br />~ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />-. I <br />I . <br />}'[ " <br />i I i <br />LI <br /> <br />_ AMOUNT LAST BILL <br /> <br />.--' <br />.....'-~' ., _I <br />L,. - <br /> <br />n\c \e2i <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPL..<=TED <br /> <br />ORDER TAKEN BY <br /> <br />.' -/ .- <br /> <br />': :~I <br /> <br />fr- <br />.... if <br /> <br />ORDER GIVEN BY <br /> <br />) <br /> <br />Retain wnite form in otfice 3t all times. <br />Send pink .& yellow corms '0 Water Service 00gr. <br />Water ServICe Oept.:03ign 'fellow form & r~n cO office. <br /> <br />
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