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!3-2020 0
�'�; �L.l:•l� ' •� ST l.UCIE COUNTY WATER & SEWER DISTRICT (SL•CU)
20098�5377 C J ��J .2.50N J HNNYNEW CUSTOMER APPLICATION
2 TANGELO DR
:T PIERCE
34982 Comm r _ If +
aunt Tendered: 519 0o C �(�J p C !G', l 6
—RES NAME]& '1 � i — -
519.00 53� f�
' ount Paid: MIF
0.00 ACCT.a
Lange Due' iRR
lank You
_SECURITYDEP SERVICE ADDRESS
se r ID: MURRAYA seavtcE FEE t rCliGj S
SAME DAY FEE SUBDIVISION ��1ClIQ/1 It�l� i/ �r"r LOT.. 13 l►LOCK�
OVERTIME FEE
L4 y + W METER INSTAL BILLING ADDRESS
CfCJVJATER. EMAIL ADDRESS__
FPUACFC r 2�r(] %I
PHONE11 MOVE IN/CLOSING DATE
CFCJSEWE R
GUAR.REV. This application hereby requests 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
LATERAL regulations,which by reference are made apart of this contract.Applicant agrees to pay UlilitY Promptly for
TOTAL such services in accordance with the established rules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE ORTRANSFERABLE,
APPLICANT AGREES TRAT APPLICANT WILL BEGIN.PAYLIG BASE FACILITY CHARGES FOR THE UTILITY SERVICE
APPLIED FOR ON TM DAY THE WATER METER OR OTHER UTILITY SERVICE CON1'kCl'ION IS INST_+LLLEII AT
APPLtC.ANT'S PROPERTY,REGARDLESS OF WHEN APPLICANT STARTS UTILIZING THE NIETER.NDIOR SERVICE.
CUSTOMER SIGNATURE SOCIALSECAED ID
NAME OF SPOUSE
SPOUSE SOCIAL
OFFICE USE ONLY
u; DATE RECEIVED CASH CHECK# RECEIVED BY
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