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11-12474
Zephyrhills
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Building Department
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Permits
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2011
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11-12474
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Last modified
6/12/2012 2:01:01 PM
Creation date
6/12/2012 2:01:00 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-12474
Building Department - Name
MILLER,HARRY E & MARIE H
Address
4841 6TH ST
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�� H� I S AI� SERVICE ORDER <br /> �"� -! . : „ H VAC �NVOICE <br /> i- <br /> �-- C O M P A H Y 11365 <br /> CACO58575 ' <br /> 12232 HWY 301 DADE CITY (352) 521-4977 <br /> DADE CITY, FL 33525 ZEPHYR1ilLLS (813) 779-9515 <br /> BILL TO: Rotary Cluh of �yrhi►tc <br /> .. <br /> SPLIT SYSTEM PKG UNiT <br /> NAME: D'ATE: MODEL # <br /> ADDRESS: SERIAL # <br /> CITY: ZIP CODE: <br /> PHONE: WORK: MODEL # <br /> CELL: Dennis Bulin RENTER: SERIAL # <br /> TECHNICIAN: DATE: <br /> PROBLEM REPORTED� B�N�� Fri idaire <br /> :� .. .F 5 ,r' H � 'x � v.. , « <br /> y., .��#'A�,1 �+F��• f:�.. £k4. <br /> - �.���` ' q� i�� <br /> PARTS & LABOR <br /> PARTS ONLY <br /> START UP : <br /> , . . . . , , . . � . . , .. , r.ewa.� � ;'.�,. x= < .a:� '., .. . .a' ,.+: ts§"..� <br /> � % :s�`��': �r.�'�"v;;�;<,:;°,.s�. ` A"';`.�'..' �� <br /> �r �`=�` <br /> 10 ear arts warran <br /> �< '�` , > . � . ,, ; 1 year labor warranty <br /> �;,� ' �.p;•,..3�;-,��, a��a� w..t+�;�- ' n .. : - :;.w: ; . .� �b.�; <br /> CHECK # DUE: CASH: "" ��-,� ' � R' > � �' �` � ' <br /> � :,. . ,���,���.,� <br /> CREDIT CARD #: SUCTtON PRESSURE: <br /> CARD TYPE: LIG2UtD PRESSURE: <br /> APPROVAL CODE: TEMP. DIFFERENCE: <br /> EXPIRATION DATE: FILTER: <br /> .. ,. _ , �. , _;-�::.'�_ DRAININ P <br /> ��:;; G ROPERLY: <br /> ,::n;�`. :. .;.6'' » �: -•n � .e�,� : , �.�..�a e .c` sA, : .1..;,irY,h` '�,.�?y�t. V � t , „ <br /> I HAVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE WHICH HAS BEEN � � � r, <br /> SATISFACTORILY COMPLETED I AGREE THAT SELLER RETAINS TlTLE TO EQUIPMENT ��� �`� �' � L� .�.r� � 5 '�'' x '� <br /> AND MATERIALS UNTIL FINAL PAYMENT IS MADE. IF PAYMENT 1S NOT MADE AS LIMITED WARRANTY• EQUIPMENT, PARTS AND MAl'ERIAL <br /> AGREED, SELLER CAN REMOVE SAID E�UIPMENT AND MATERtALS AT SELLERS EXPENSE HAS WRITTEN MANUFACTURER'S WARRANN ONLY <br /> ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE RESPONSIBILITY L LABOR PERFORMED BY CHRIS' A/C HAS A ONE YEAR <br /> OF SELLER. ARRANTY CHRIS' A/C MAKES NO OTHER WARRANTIES <br /> ------------------------ <br /> TOTAL: � � 700.00 <br /> CUSTOMER SIGNATURE DATE: <br />
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