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06-5710
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2006
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06-5710
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Last modified
3/6/2009 4:20:14 PM
Creation date
5/29/2007 3:06:48 PM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
06-5710
Building Department - Name
US HOMES
Address
MAISIE LN MODEL 9F BLD 25
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<br />o <br /> <br />o <br />~ <br /> <br />o <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71D-8OOB FAX 813-719-7918 <br /> <br />o <br /> <br />WATER ACCT. NO. <br /> <br />o <br /> <br />f23 <br /> <br />o <br /> <br />("'I <br /> <br />o <br /> <br />o <br /> <br />'0 <br /> <br />b- ~ { Co ~ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />DATE <br /> <br />'1 (13 <br />~/DG <br /> <br />OWNER/ <br />RENTER <br /> <br />US \-\-UY'Y'\.P....t:: <br /> <br />MAILING <br /> <br /> SERVICE ADDRESS {~la~ <br /> SHUT OFF SERVICE 0 <br />.. y:, ~ "- TURN ON SERVICE G;V' <br /> INSTALL METER ~ <br /> READ METER 0 <br /> CHECK METER 0 <br /> OTHER 0 <br /> 3/'-1 cU. ~ <br /> p~ -SlID <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />m~ L.n_~\c\.':i~'5-~q <br />[iY'" WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~INCITY <br /> <br />o OUT CITY <br /> <br />.....l..- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />ORDER TAKEN BY <br /> <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Oept. <br />Water Service DeD!. to sign yellow form & return to office. <br />
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