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� '�'. <br /> CI1Y OF ZEPHYRHILLS <br /> UTILITIES WORK ORDER <br /> WATER ACCOUNT NO.: DATE: Mar 9,2012 <br /> � <br /> OWN ENTER/BUSINESS: � ' �/ <br /> ���v CONTACT PERSON: � <br /> � �.�.� <br /> MAILING ADDRESS: � ,� ,� <br /> PHONE NUMBER: <br /> �f3� g y�-.�"�o_ <br /> \ L`5 5 � ����� , EMAIL ADDRESS: <br /> C �� (!J / v . /` � J , ' . <br /> « z' <br /> SERVICE ADDRESS: ,�C, �/�y _ — v_y � <br /> � � � <br /> SHUT OFF SERVICE ❑ �X WATER <br /> TURN ON SERVICE � ❑ SEWER <br /> INSTALL METER �] ❑ GARBAGE <br /> READ ME7ER ❑ �IN CITY <br /> CHECK MEfER � ❑ OUT CITY <br /> OTHER � <br /> DESCRIBE OTHER: <br /> � i - � � <br /> � NUMBER OF UNITS �� �p�g'L�.� �,�,�_ ;� <br /> DEPOSIT AMOUNT ✓J'��+%�L � `�'�'I, .�'�� ����'lz��� <br /> `TN <br /> AMOUNT LAST BILL �`�� 3 ~`=�� ' <br /> DATE � � � bD <br /> (��r���l'/ • �"�� � <br /> �j �U <br /> MISC. CHARGE -�.j ��_,,�� �-,�� �� 7 , <br /> �� y� , a�� �� <br /> METER: FULL <br /> __ � �`�����--- <br /> IRRIGATION 3/4" a�l <br /> �ye - �� -l?f <br /> - • � <br /> WORK COMPLETED BY&DATE ORDER TAKEN BY: ; � • -- <br /> COMPLETED ' r �� <br /> h <br /> ORDER GIVEN BY: � �� <br /> Revised 9/2010 <br />