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05-5261 (2)
Zephyrhills
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2005
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05-5261 (2)
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Last modified
3/6/2009 4:22:18 PM
Creation date
6/20/2007 10:42:48 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
05-5261
Building Department - Name
CERVALLOS,JUAN
Address
6215 ABBOTT STATION
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<br />""~- <br /> <br />~ <br /> <br />r <br /> <br />w <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7910 <br /> <br />. . <br /> <br />WATER ACCT. NO. <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILlS, FLORIDA <br /> <br />DATE --11.l q I D & <br /> <br />OWNER/ <br />RENTER <br /> <br />MAILING <br /> <br />. ,. \.,;. II"; <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTAlL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />"- <br /> <br />:JATl~~~ <br />3/4/1 -l: '- --=- ~ <br />p~- ~~a.-.<6 <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service <br />Water Service [)ept to sign yellow form & <br /> <br />STA='\\.C J'c"\ 1) (" 5\-e.. \D \ <br />~ATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~ CITY <br /> <br />o OUT CITY <br />~ No. OF UNIlS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />ORDER TAKEN BY <br /> <br />
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