HomeMy WebLinkAboutPRE-CONSTRUCTION SUBTERRANEAN TERMITE TREATMENT • � v
SCANNED
St. Lude count
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'Considering Your Envirohnierif ,
State l.rcense Nwmber 111"
111,9_47th Road North Royal;;Palm Beach, FL 3341 f
561-333-8777 l FAX:561`-33M- 99'f Toll Free 866=414PEST
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Propertylnformation
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Address .f
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� Owner '
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Bu'ildec!CoritrarAbe infdtMAtion
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Name of 8pilder.
Shell Contractor: ��--J_
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ConstructionTyos
Monolithic: Floating/Stemwall: Patio Ent y.-
Driveway.:
Addition: Other. .
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Product t Treatment-Inforrnation
Treatment Date:. time: n Technician:
Treatment Type{m di one) Initial.Under Slab _Supplementai:
Froduot App)ied; G 'ermetlirin: Premise 75 OtIN
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Concentration::r' %. Mixed:Product Applied ;Gallons.
Square.Footage Treated Linear Feet Treated:
It this is checked;then final perimeter treatment has been completed and fhe:
follow log statement is applicable:
Certificate ofCompliance THIS BUlLDINv HA`S RgaE►VED A COMPLETE 79E TNWT FOR THE,
PREVENTION OF SUBTERPj'w U TERMITES TREATMENTiS IN ACCORDANCE WITH THE RULES AND ;
LAWSESTABLISHED BYTHEFLORIDkDEPARTMENTOFAGRICULTUREAND:CONSUMER=SERWCES-
lFlO►rd:si udit code(FBcl ls16.r:7)
Applicators Name(Please Print)
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