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Building Receipt
DEPARTMENT OF F' '110 WORKS Building & Zoning (772) 462-1553 TRANSMISSION COVER FORM FAX # (772) 462-1735 (772) 462-2522 DATE: 71 I a i 0 TO: 0-0P-(-1 IOU 0l' P/1�-er FAX: 5CPl • '7� COMPANY: pi - Pu ro M-ar +hDn—)-c V DEPARTMENT: C Llg3,3 11) 0-i-er60y-)cj IA/U y RE: 0tp-m i T- i* OCop-7 -0220 NO. OF PAGES INCLUDING COVER: C S+- Lu (c)tAni-1) SENDER:PHONE #: COMMENTS: 7 , °� Building Receipt Code Compliance Division 2300 Virginia Avenue Ft Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1148 http:/Istiucieco.gov/ce Date: 12 July 2006 Receipt #: 0000041710 Job Address: 4933 WATERSONG WAY 'ermit Number: SLC- 0607-0220 Received By: serranob Amount: 5175.00 Paid With: CK �redit Card Number: Check Number: 15721 Paid By: GW PURUCKER HOMES Sign: It Building Code Compliance Division Receipt 2300 Virginia Avenue Ft Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1148 http://stiucieco.gov/ce Date: 12 July 2006 Job Address: 4933 WATERSONG WAY Received By: serranob Paid With: CK Paid By: GW PURUCKER HOMES Sign: Receipt#: 0000041710 'ermit Number: SLC- 0607-0220 Amount: $175.00 :redit Card Number: Check Number: 15721