HomeMy WebLinkAboutFP Utilities Authority InvoiceFort Pierce Utilities Authority
"Committed To Quality"
WaterfWastewater Engineering
206 Soulft 61h Street
FL P Perm. FL 34960
INVOICE NO:
LOCATION Id_
ADDRESS_
ADDITIONAL INFO:
.. 12UOTE F
j08 OESCFiIPitON: IN57
SORD00004041698
Phone I(7?2I 466-1600
Fax (772) 461-1933
ER -INVOICE -
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1s09 LONE PINE OR FORT PIERCE FL USA 34992
PREPARED BY! d0F=d4SON`CH
W.3+41.ITRU+G�
WMERW4ME--RONLY U+G 1
52l3.M
S-A0.00
-CAP IIICHG
VLSY HCAPiTAUMPROVECi NRGE
$1.6�om
W-CON FEE E'.C.''-T
WrRCMAROT FEE NEINCUST
53.01
$40-00
OrPCGST lA OIGE
TF_-'POSIT FOR NVOICE KEW OUST
53.!!1
t.003
70YJtLCItAiIG£
:. "2
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Cust0trsrr5 .,D be assessed vmvLavater charge, the day they oorne l to the woste'wLter system ra tvilhh 565 days from date emst_eiwater
Cannetinn Charge is paid , volicbmer is f'rs: _ The tcs: cf tke sc,^rice f'ne from Lte pair.: cf derivery at tF-- property Lne to the
house I buTd'etg is The raspcnsbU4, of the ccr'.cmer arrd is rrol irdwfarf in (hr"s i to •.a . Slate Can- regcim Ural a pefrrtt fram the Health
Fteparlmcnl must M ohlaired tlri r!a irif�+fir eplic lar4 •I�rrxl �c renL Cm'acl !M Hr rl!h Department at f7-32) ®7349s1.
Cares•.nrcGm coat a to mates are bated on tsfiterit fatar, , equipmerrl asd rnater.'a9 pibes . Aa:rsal ccs's cf mrrit.mcfian :vitl be de:crmned of
the conpleVon of Ife p mj:ct . C"lould arebruseen dimm.starr-as be errcurtered durarg ccnslruction , ircludir_g bet rat lirni ed to adverse
xea:Irer condilims and corx:ruction rmr5cts , the cwtaraer edit be re%porziHe for isrrexed ccs AdNGm& costs irrt:urred by the
customer sha1 net exceed U!"en p 15 ? percerf, cf tic total estma'xd camtrrcfor cats sWwr.. abmv . Esfimuted costs paid by '!:e
customer -ma: exceed the netual test of be refcrrded by Fort Pierce U61ilies AuMcrify .AU fees are due prior to any
construction.
Note: �frsse a tr +rre'gyrr_R�pd ~crhet lmobe to Cusimmer SL—rice a'.206 SwUh 6:h.Street, FL Pitme.l'L 8494.0 rs call 1i32y 466 EOD tz :elup accoure.
CustomerS4rtature:
Printed Dame:
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