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. {.�.� <br /> CITY OF ZEPHYRHILLS <br /> UTILITIES WORK ORDER <br /> WATER ACCOUNT NO.: DATE: <br /> OWNER/RENTER/BUSINESS: Patricia Or Robert Smith <br /> CONTACT PERSON: Patricia Smith <br /> MAILING ADDRESS: 39510 Valderrama Lane <br /> PHONE NUMBER: 813-395-8601 <br /> Zephyrhills, FI.33542 <br /> EMAIL ADDRESS: <br /> SERVICE ADDRESS: 39510 Valderrama Lane �� I� <br /> SHUT OFF SERVICE � OX WATER <br /> TURN ON SERVICE OX ❑ SEWER <br /> INSTALL METER X❑ � GARBAGE <br /> READ METER � �X IN CITY <br /> CHECK METER � ❑ OUT CITY <br /> 07}1ER � <br /> DESCRIBE OTHER: Irrigation meter 3/4 <br /> � NUMBER OF UNITS <br /> DEPOSIT AMOUNT <br /> AMOUNT LAST BILL <br /> DATE <br /> MISC. CHARGE <br /> MEfER: FULL <br /> IRRIGATION x <br /> WORK COMPLETED BY & DATE ORDER TAKEN BY: Jackie Boges <br /> COMPLETED <br /> ORDER GIVEN BY: � • ' !��\ <br /> Revised 9/2010 <br />