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09-9982
Zephyrhills
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09-9982
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Last modified
1/11/2011 2:26:26 PM
Creation date
1/11/2011 2:26:24 PM
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Building Department
Company Name
GRAND HORIZONS
Building Department - Doc Type
Permit
Permit #
09-9982
Building Department - Name
BLOOMFIELD LT WAYNE & JEANNE
Address
37142 NEUKOM AVE LOT 301
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_ rr te <br /> r <br /> LP, <br /> `C(it( CITY OF ZEPHYRHILLS <br /> UTILITIES WORK ORDER <br /> \WATER ACCOUNT N • 3 ) 5 / — LJ 0 ' DATE: ( - a Z <br /> OWNER /RENTER: J o ri Q (t- tN A �C J ibc\YY4 <br /> MAILING ADDRESS: <br /> SERVICE ADDRESS: 3 1 / - &Llb—c_3 f C , 36 ``�� <br /> J <br /> SHUT OFF SERVICE 0 „.. ❑ WATER <br /> TURN ON SERVICE 1 (} ❑ SEWER <br /> INSTALL METER ❑ ❑ GARBAGE <br /> READ METER ❑ ❑ IN CITY <br /> CHECK METER ❑ ❑ OUT CITY <br /> OTHER ❑ <br /> DESCRIBE OTHER: <br /> NUMBER OF UNITS <br /> DEPOSIT AMOUNT <br /> AMOUNT LAST BILL <br /> DATE <br /> MISC. CHARGE <br /> METER: FULL <br /> IRRIGATION <br /> WORK COMPLETED BY & DATE ORDER TAKEN BY: , � J zd c COMPLETED <br /> ORDER GIVEN BY: <br />
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