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% <br /> �----Pnnt Form <br /> - : - - <br /> CITY OF ZEPHYRHILLS <br />� UTILITIES WORK ORDER <br /> � � <br /> i I <br /> WATER ACCOUNT NO.: i DATE: Jan 30,2015 I <br /> OWNER/RENTER/BUSINESS:Butterfield Mobile Home <br /> CONTACT PERSON: Wayne <br /> i <br /> MAILING ADDRESS: 4034 Gall Blvd I PHONE NUMBER: 813-397-5250 <br /> i <br /> Zephyrhills, FL 33542 �� EMAIL ADDRESS: <br /> SERVICE ADDRESS: 37846 Prairie Rose Lp Lt#11 i <br /> SHUT OFF SERVICE X❑ i ❑X WATER <br /> TURN ON SERVICE ❑ ❑ SEWER I <br />, IfVSTALL MEfER ❑X ❑ GARBAGE � <br /> READ MEfER ❑ � ❑X IN CITY � <br /> CHECK MEfER ❑ � ❑ OUT CITY <br /> OTHER ❑ � <br /> DESCRIBE OTHER: 3/4 � <br /> W G= (�-- <br /> i <br /> NUMBER OF UNITS <br /> I <br /> DEPOSIT AMOUNT <br /> � <br /> AMOUNT LAST BILL <br /> � I <br />' DATE � <br /> � <br /> MISC. CHARGE <br /> MEfER: FULL 3/4 � <br /> � <br /> IRRIGATION I <br /> , WORK COMPLETED BY&DATE ORDER TAKEN BY: Jackie Boges <br /> COMPLEfED <br /> ORDER GIVEN BY: � , <br /> Revised 9/2010 <br />