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06-5533
Zephyrhills
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2006
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06-5533
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Last modified
3/6/2009 4:21:26 PM
Creation date
5/10/2007 8:38:14 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
06-5533
Building Department - Name
TENBRINK,BRUCE L
Address
40509 CHANCEY RD
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<br />\ <br /> <br />\ <br /> <br />'- <br /> <br />,)' <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71$-8008 FAX 813-7111-71110 <br /> <br />CITY OF Z€PHYRHILLS <br />ZEPHYRHllLS, FLORIDA <br /> <br />b- 053 .3 <br /> <br />J <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />3/-11 Oto <br /> <br />OWNER/ <br />RENTER <br /> <br />q;,~ '\" en B~'I ('\ to( Q... P-6s~. <br /> <br />MAILING <br /> <br />,3(0 80S <br /> <br />,C:; R !5 Y. <br /> <br />e.e.p~....h; US) R- <br />SERVICE ADDRESS ~O SO~ C!..hl'\N'"'\(-€".L1 <br />SHUT OFF SERVICE 0 <br /> <br />Rr::, <br /> <br />~WATER <br /> <br />TURN ON SERVICE [jJ./' <br />'.'," ~ I:iV' <br />INSTALL METER <br />READ METER 0 <br />,r-......... <br />'--- 0 <br />CHECK METER <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />IJr"IN CITY <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />.3/41, W~ ~ <br />~ - 6533 <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />"\ -......... I. 0 '. . <br /> <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 & return to office. <br /> <br />Q~b ~(~? <br />
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