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08-8177
Zephyrhills
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2008
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08-8177
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Last modified
3/6/2009 4:44:17 PM
Creation date
9/23/2008 10:16:14 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
08-8177
Building Department - Name
POULAIN,JEAN & YVETTE
Address
37041 NEUKOM AV LT 350
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<br />ir', <br /> <br />to.,) <br /> <br />r, <br /> <br />,......, <br />\ . <br /> <br />,...., <br /> <br />t'''' <br /> <br />("'\ <br /> <br />n <br /> <br />('1 <br /> <br />~ <br />~T"" <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-BOO8 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT, NO, <br /> <br />DATE 8.. U-~ <br /> <br />OWNER/ <br />RENTER <br /> <br />~ ~'~0\'1 <br /> <br />ICo~$ G~~{e>p! ~ <br />2epk~.-L'll~ 91 "335~/ <br />SERVICE ADDRESS 37 D<./.-I A.{.eu..1<..Drn ~ Coi-3Sl:> <br /> <br />MAILING <br /> <br />~ <br />'--- <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE l\V <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />~TER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />o OUT CITY <br />~NO. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />(0 3ft/- w~~.de..r- <br />~ 3/ cf lrv~jQ.-'i 'dn ~ <br />P tprl: f #= 811 7 <br /> <br />_ AMOUNT LAST BILL <br /> <br />_DATE <br /> <br />_ MISC. CHARGE <br /> <br />METER: full <br /> <br />irrigation <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br /> <br />~~ <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Depl. <br />Water Service Depl. to sign yellow form & return to office. <br />
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