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� Print Form <br /> CIlY OF ZEPHYRHILLS <br /> UTILITIES WORK ORDER <br /> WATER ACCOUNT NO.: DATE: L�_f �—I� <br /> OWNER/RENTER/BUSINESS: :�� r-�^S-(� �,y���� CONTACT PERSON: <br /> c�gt�-r��b� Trti c • _ (�� � � �C-�. <br /> MAILING ADDRESS: Z �j � PHONE NUMBER: " Y( C�S <br /> ` ��� 35.5 1 <br /> �- <br /> �('��U!`�\i bI S � � �""Z EMAIL ADDRESS: <br /> SERVICE ADDRESS: 52�j � Kf RG� <br /> SHUT OFF SERVICE ❑ `�WATER <br /> TURN ON SERVICE � ❑ SEWER <br /> INSTALL METER � ❑ GARBAGE <br /> READ METER � � IN CITY <br /> CHECK METER ❑ ❑ OUT CITY <br /> OTHER � <br /> DESCRIBE OTHER: <br /> � ,�,�1� NUMBER OF UNITS <br /> DEPOSIT AMOUNT <br /> AMOUNT LAST BILL <br /> DATE <br /> MISC. CHARGE <br /> MEfER: FULL � ' �a�� <br /> IIRRIGATION I <br /> WORK COMPLETED BY& DATE ORDER TAKEN BY: ,� <br /> COMPLEfED <br /> � � � <br /> ORDER GIVEN BY: '� '� , �,��o�j �j-G . <br /> Revised 9/2010 <br />