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An 16 2017 04:23PM HP Fax
273.6 BROADWAY CENTER BLVD,) BRANDON, FL 33510
PERMIT DEPT. 866-219-OSSO TOLL FREE 866-219-0.729 FAX
Attn: permit department
SU612-0467
7400 s ocean dr unit 702
Customer cancelled installayll
replaced at this job address;. P
I
in witness where of, I have hereunto set my hand and
Signed sealed and delivered in the presence of: \1
Signature of
State of Florida
No water heater was
!ase cancel this permit.
'I
�a I this day o —bn' 20
County of Hillsborough -7 by: Dimiltre 3obev who is
The foregoing instrument was acknowledged by me this day of
personally known by me or who has produced as identification and who did/did not take an oath.
ASHUY NICOLE ZEGEKGE1117
I I
MY COMMISSION #FF12()712
EXPIRES M4'y 7. 2018