HomeMy WebLinkAboutInspection Docs M ST LUCIE COUNTY UTILITIES-P.O.BOX 728,FT.PIERCE,FL 34982
NAME
LiCount 62:37:48
- PCIS o { '
23-2-2011 8 U2;37:48 -�—� "f
ACCT.# _
17400/4125
TER, DOROTHY J.
3 BUCHANAN DR EP SERVICEADDRESS �^ ��'y- '
M982RCE E
ant Tendered: 519.00 TE SUBDIVISION y: LOT BLOCK
int Paid: 519.00 'EE
i9e Due; 0.00
ALL. BILLING ADDRESS C4S (Q �G ✓
ik You
'
ID: MURRAYA PHONE# i ��7 MOVE IN/CLOSING DATE
This application hereby request and authorizes the Utility to render water and/or sewage disposal
—- services to the premises described above in accordance with the Utilities present or future rates,
LATERAL rules and regulations,which by reference are made a part of this contract.Applicant agrees to pay
the Utility promptly for such services in accordance with the established rules and regulations.
j �, i .U TOTAL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER SOCIAL SEC/ G�
SIGNATURE FED ID
NAME OF SPOUSE SPOUSE SOCIAL SEC.
OFFICE USE ONLY �� r
DATE RECEIVED CASH CHK# UU RECEIVED BY
RECEIVED
JAN 212018
ST. Lucie County, Permitting