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10-10106
Zephyrhills
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2010
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10-10106
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Last modified
1/27/2011 9:32:39 AM
Creation date
1/27/2011 9:32:38 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-10106
Building Department - Name
ROMAN,ALLAN
Address
6106 12TH ST B, C, & D
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CITY OF ZEPHYRHILLS <br /> ZEPHYRHILLS, FLORIDA <br /> WATER ACCT. NO. DATE 4- /7 <br /> OWNER/ <br /> RENTER <br /> MAILING 67/196-12-71j" <br /> � e5 -- ;5/0 o <br /> SERVICE ADDRESS (a/06 " // t j <br /> sNigi OFF SERVICE <br /> WATER <br /> TURN ON SERVICE <br /> SEWER <br /> INSTALL METER N. <br /> GARBAGE <br /> READ METER ❑ IN CITY <br /> CHECK METER ❑ 0 OUT CITY <br /> No. OF UNITS <br /> OTHER ❑ <br /> DEPOSIT AMOUNT <br /> ," -� 311 �5 <br /> � AMOUNT LAST BILL <br /> • <br /> .."17.g7 DATE <br /> MISC. CHARGE <br /> METER: full <br /> irrigation <br /> WORK COMPLETED BY ORDER TAKEN BY <br /> & DATE COMPLETED <br /> j <br /> ORDER GIVEN BY <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 />
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