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12-13092
Zephyrhills
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2012
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12-13092
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Last modified
2/14/2013 2:43:20 PM
Creation date
2/14/2013 2:43:19 PM
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Building Department
Company Name
ALPHA VILLAGE
Building Department - Doc Type
Permit
Permit #
12-13092
Building Department - Name
LULOFF,BRIAN
Address
38604 TRELLIS AVE
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� <br /> �„ � SERVICE ORDER <br /> - , RIS A/C ����� <br /> -' ��� HVAC <br /> � • .. <br /> �� <br /> --- 1111 P A N Y 12457 <br /> CACQ58575 � <br /> 12232 HWY 301 DADE ClTY (352)521-4977 �� <br /> DADE CIT'Y, FL ' ZEPHYRHfLLS (813) 779-9515 <br /> LAKE C4UNTY (352)508 5614 � <br /> BILL TO: ��,s <br /> /YI{tn V��IcGL <br /> SPLIT SYSTEM ,t' PKG UNiT <br /> NAME: • � �ATE:,s-g i MODEL# <br /> �.R <br /> ADDRESS: � T���� �` SERiAL# <br /> CtTY: Zr ZtP CODE:33Sye <br /> PHONE: �o`,o WORK: MODEL# <br /> CELL: ��3,3�� 47JY RENTER: SERIAL# <br /> TECHNICtAN: �� DATE:�,b,_�,l <br /> PROBLEM REPORTED: o � BRAN�: <br /> 1 <br /> �bw� r �+ r� .So.�. :,� a la o � F � � .,,.er' PARTS 8�LABOR <br /> C�,.,f' s PARTS ONLY <br /> START UP: <br /> �lv % Ti.� 1�!'cw ( .. El/ .!� r .r .',. /.i.c te�� <br /> �fv �H <br /> �.. � F <br /> CHECK# JGp DUE: CASH: �' ��`��� $`'��"� �t <br /> . ._ ._ . �`���:`��y <br /> CRED(T CAR�#: �-S U - � SUCTION PRESSURE: � <br /> CARD TYPE: ,� � LIQUID PRESSURE: <br /> APPROVAL CODE: ��2 �I TEMP. DIFFERENCE: <br /> EXPIRATtON DATE: ILTER: Gpc� <br /> •'�:��;.�:�:..�,.,�,,�g.,�,,yM,:.�.� .r . <br /> �3.<;�,�;;;�<.���;��_� ; .x' ,'�. �� INtNG PROPERIY: �' <br /> ..}-.� • �r., � . . <br /> I HAVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE WHICH HAS BEEN ° "�� � �;"�'�;'.� <br /> SATISFACTf}RlLY COMPLETED.I AGREE THAT SELIER RETAINS TITLE TO EQUIPMENT � <br /> AND MATEFtIALS UFJTIL FIMAL PAYMENT IS WFADE.IF PAYMENT IS NOT MADE AS MAITED WARRANTY•EQUIPMEM,PARTS AND MATERIAL <br /> AGREED,SELLER CAN REMOVE SAID EQUIPMENT AMD MATERIALS AT SELLERS EXPENSE WRITTEN MANUFACTURER'S WARRANTY ONLY <br /> ANY DAMAGE RESUlTING FROM SAfO REMOVAL SHALL NOT BE THE RESPONSfBiLiTY L LABOR PERFORMED 8Y CHRIS'A/C HAS A ONE YEAR <br /> dF SELLER. ARRANTY CHRIS'A/C i�AAKES NO OTHER WARRANTIES <br /> ��• OTAL: $ -7 S• v� <br /> •------------------------ <br /> CUSTOMER StGNATURE DATE: <br />
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