HomeMy WebLinkAboutPROPANE TANK RECEIPT_
RECEIVED
OCT 09 2018
5T, Lucie county, PePtllfiCln
Mara �aaah.C#Kfi;a
m city office
1701 colmm aroo Ave
3500 SW Murlln Hsray
Vora gaaoh, AFL 32003 -
potna rift', PL 3409I1
i 77"�-$02�e66
772.267�1rlOD
�y+tvu,.tis�tinfst�rttIl
- avu<<ay.r.Hm6rint d�.cnN,
job Noma: Fersoh Joseph W.-A-Tracy J. _ _
Contractor"
Job Addroso. 4020 _&puthwln(I Trap - -
f3flling Addrusar
city, a ata, zip; Fort Plargo F) _
city" Stato, ,21pr
Phone 1; 772»9701y46130 want.__
f3imallr ftMOh@oovb,4rg
Phone 2:
Rillod by Small?
I Gurmnt Provfdor; -- - _ Tank
AccountTYp0; Full tkne rasIdonual Cust#r
o
a
,
Tonic $tza :118 gpl V - --_- -- Tonk GptlonlPrlaolMrlod. Prom"
Tank $8,79 Idonttll . Yank sot;
AC
Tank Size; Tank OpllonlPrfoalParrlod.
Tank Beats
Tank Stxas Tank OptlonlPrlcalParlcd.
Tank Sots
TankMonftor7-.__ ____ TYpaofMonitor;_-.-- _-- _ _ _-_- Monitor How Monitoring Pam
Dollvary a yclo" Auto FIII, r' Fraquonay pfAWOA
ivory -------180 pays. FirA Fill,_ $6 aaltono @
Pump out Pao" - Tank got Gxcavallon Foa
$117,6.00 Tank Dlapasnl Foa;
Anchor." Huromar of Soto. 1 Price Par Set.
$O&SQ Anchars Toiol
$92.6tJ
Anadaa; Arnaunt" Price lror;
Anodou Taualr
$040
Tank Location;
�__"taRaq.tant�2cytabQ.odrrom�snunryrc.tann4ry, LoaaedMaalR9�nrnkllladrramAunta.l4n
(manitarinc F40).
DOR & 404210109 TnU:
$246,25
f 1M
OWN
Fact of underground Lino (*1-) actual footsoa will be charged.q
—pArfact.
Total $.—
$Q.00
_-- 3- Feat of _ -- 3/4"gale. __ _ Intorlar lino (+1") rrntdrat footago will 114 &hgrgod r, $14,00 per foal. Total $
$42 00 -- - -_
17 t=eot.cf tubing (*/-) notual footaga Will be ehaegod
$$,26 par foot, an
Total 8926
Rat of aleav(ng (*1+) actual foologo will be charged ,G
�por foot,
Total ¢.
$Q;QQ- - -
a Forst of raglulator venting (*18) actual footage will he charged C ' ' ,
§6.00 Pelt foot,
Total $
$40 00 —
lot -stage
-Amount.--�s----
zap
-AmOunl —1
Amount:-- -1-- --
t
-Amount:-- -
Amount:
-Amount; --_
-Amount:- - -
$ par _
per: a 6,aa
$ pon _
$ parr suc
$ per:
$ per. _
$ par:
Total $, $o,po
Total $t $761,00
Total $: $0.00
Total $: $0.00
Total $: $0.00
Total S: $0,na
Total.$,, S%oo
Ohrtl ®f Yalve
Sndlman rnE#
$F p-lox I,tna
XEwlWflSl
ORIld Blacks
misgq eam R, pioinnj
Amount:
Amounts 4
AmOuntt
Amount
Amount:
Amount: 3
$_par
$ pon $z4 e$
$ Par, - - -
$ pert
S per
$ par.' $a,6o
Total $r so,ao
Total $s $24.96
Total $: moo
Total $: *c.cio
Total $: saga
. Total $: $10.$o
Total $; $20,00
Malothls Total $310.70
Range:
Pryor
Drill.
r •'."`Y{ ! ..�C{ 1 1 �
, ¢.�
�4M 611YS'.'� �` `��
-��4 4 'S` ,�1� l�I` ��
LnUorTotah OAA
Deliver and set 118 vertical tank on blocks, level and anchor, run gas fine tender ground to existing tan W,$
water heater ( Rlnnal V(36n160,000 STU ) set for rough inspection, disconnect 40, lb. cylinder and hose, tie in_
system with regulators, out off and vent regulator away from soup of ignition, test fdr teaks, set for final
Inspection turn on gas saNtY check, drip leg is existing..
wcY.—�K-�-�.X tom
Subtotal (before tu.00): e.�e
Tom
Permit Foe: 00-CIR
tat Fill Price: - _ $236.56
Mazmat Few: $13.gg
Coate Off Company of Florida Reprssentailve,
Aaeaplad thy. Willie Andoreag
-2Q43538
willleaCcomoflorida,corn
sign:
lute: 90-03.9 g
Customer
Accepted By: LM Fgxsch _
60% drawn Payment:
(,15t'7- -
- �alanoa Clue: .
Datot
OAK material Is guaranteed to be:spec itiad, All wads to he Completed in warkmsnium mannerawrong to Standard practims, Any a teratlans or
deviation from above speolfloatians Involving axtra.coata will be exaauted only upon written orders and will b�come snnxtra charge over and
above the aolimato. All agreements are Contingent upon strikoa, acdclenta or delays beyond our ooniml. Owner to carry tire, tomado and other
nam. sary Insurance. Our workers are faly covered by Wafted Compansation. Como OR Company of Florida not responsible for Irrigation
dsmtoge,. Propseal vslld for40 days.
Bonding of tntarlar gas Uaaa to ba dams by ®thats. "All sad raplacament to bo dons by othato. "Prdpana b►lled.aaparalely.