Laserfiche WebLink
; ' <br /> Print Form <br /> - CITY OF ZE HYRHILLS <br /> UTILITIES ORK ORDER <br /> I <br /> WATER ACCOUNT NO.: DATE: Sep 16,2014 <br /> OWNER/RENTER/BUSINESS:Butterfield mobile home Ilc CONTACT PERSON: Wayne Butterfield <br /> MAILING ADDRESS: 4034 Gall Blvd PHONE NUMBER: 813-937-5250 <br /> EMAIL ADDRESS: <br /> SERVICE ADDRESS: 37757 Prairie Rose Lp Lot 47 <br /> SHUT OFF SERVICE OX ❑X WATER <br /> TURN ON SERVICE ❑ ❑ SEWER <br /> INSTALL MEfER X❑ ❑ GARBAGE <br /> READ MEfER ❑ ❑X IN CITY <br /> CHECK MEfER ❑ ❑ OUT CITY <br /> OTHER - ❑ <br /> DESCRIBE OTHER: 3/4water <br /> NUMBER F UNITS <br /> DEPOSIT AMOUNT <br /> � AMOUNT LAST BILL <br /> DATE <br /> MISC. C ARGE <br /> METER: FULL 3/4 <br /> IRRIGATION <br /> WORK COMPLETED BY&DATE OR ER TAKEN BY: jackie boges <br /> COMPLETED <br /> OR ER GIVEN BY: C�.�,_� �, <br /> Revised 9/2010 <br />