HomeMy WebLinkAboutSLC Utilities Receipt_�L— WATER Comm
SEWER YRES
19 METER SZ. M/F
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S SfiCURTry1'YDEP
SERVICE FEE
SAME DAY FEE
OVERTIME FEE
IvMM INSTALL.'
CFC/WATER
FPUA CFC
CFC/SEWER
GUAR. REV.
IN`
CUSTOMER
SIGNATURE
ACCT. # 1 "133 L-F of --
SERVICEA.DDRESS yJ1_J%' ,�j Y-LJ pt/,x-q .,JT
SUBDIVISION BLOCK 5
3 r 1k1A �.
PHONE # MOVE IWCLOSING 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,
rules and regulations, which by reference are made a part of this contact. Applicant agrees to pay
the Utility promptly for such services in accordance with the established rules and regulations.
CUSTOMERS DEPOSITS ARENONNEGOTIABLE OR TRANSFERABLE.
•
NAME OF SPOUSE SPOUSE SOCIAL SEC.
OFFICE USE ONLY