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04-3040
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04-3040
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Last modified
3/6/2009 3:24:43 PM
Creation date
1/25/2007 3:23:16 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
04-3040
Building Department - Name
BACMAR PTOP.
Address
4917 5TH ST
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<br />~~""d <br /> <br />LU <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71!l-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />~ ,: ~\ .'_' t"" ,r; <br />'J! " ~ ~ '6'--f" <br />\ <br /> <br />WATER ,ACCT. NO. <br /> <br />DATE <br /> <br />,,--//.' ./ . / <br />.:/ '7/((/ <br />,- ,,( .. <br /> <br />OWNER/ <br />RENTER <br /> <br />,-, ,-- <br />I-I( ~i; '/;\ <br /> <br />" <br />'J:;;--r i <br />I ' '/~ I , /1' <br />'...-! ~, '-" l .~' <br /> <br />/) _~ -I!- -;- , ~ <br />Lnt..-:K . .../- ,/11.... <br /> <br />MAIUNG <br /> <br />/"2 Lfl Y tC ~:~-.J <br />~~t/?l C-'/ ~cf':'-J <br />S-;-.c. <br />cti;"/7 ST. <br /> <br />'"J <br />~/t/ Ct'. <br />? c/t< -<t <br />_/ ,. 160- __.-' / <br /> <br />// <br /> <br />SERVICE ADDRESS <br /> <br />/ - <br />/\u ~.,/ '7 <br /> <br />SHUT OFF SERVICE <br /> <br />o <br />~ <br />IIY/ <br /> <br />~ATER <br /> <br />o SEWER <br /> <br />TURN ON SERVICE <br /> <br />o GARBAGE <br /> <br />INSTALL METER <br /> <br />READ METER <br /> <br />o <br /> <br />CYiN CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />! <br />-1- No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />...., <br />.., <br /> <br />_ AMOUNT LAST Bill <br /> <br />'- <br /> <br />( <br />c.. I.,.. <br /> <br />_J!i( <br /> <br />,'"',1 '. (./.I>Y <br />/''-''-'-'' <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />NORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />I s~ -;/ - {(/ /Cr---. <br /> <br />I ~\.;~y~~:E;:~ <br /> <br /> <br />~ta," white form moffice at El.1! rimes.. /' . <br />:send pink &jellow 'orms :0 Nater ServIc~pt. <br />Water Service Depl. :0 3ign yellow form 8{~m to office. <br />'--' <br />
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