HomeMy WebLinkAboutProject Information M ST.LUCIE COUNTY UTILITIES-P.O.BOX 728 FT.PIERCE FL 34982
1, �.A 1
02-01 2018Count63:16 34O
ACCT.#
HEATHER47LONG0 EP SERVICE ADDRESS &[SCLM
FORTE PIERCE DR E
FL 34982
amount Tendered: 519.00 -'EE SUBDIVISION BLOCK 0
SUBDIVISION
lmount Patd: ?EE
519.00 ; s LA �)y 1 5f___ SCA" n IpaE _�)I a W
.hanse Due: 0.00 rALL:
hank You c5-wo,CA- . �L 1y�gCl
aer ID: MURRAYA 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
$ I(�� the Utility promptly for such services in accordance with the established rules and regulations.
_I TOTAL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
STOMER SOCIAL SECC//
IIA'I[JRE (� FED ID 1 9 U-
NAME OF SPOUSE SPOUSE SOCIAL SEC.
OFFICE USnH %,,,�
Y Q DATE RECEIVED CASH RECEIVED BY .
FEB 01 2018
ST. Lucie County,Permitting