HomeMy WebLinkAboutMisc Letters V WATER COMM ST. LUCIE COUNTY UTILITIES - P.O. BOX 728, FT. PIERCE, FL 34982
SEWER RES NAME DC ) 4L V•e--F'r`
METER SZ. M/F ACCT.#
IRR
SECURITY DEP SERVICE ADDRESS ,5 0 q
SERVICE FEE E 3 Lf Y�
SAME DAY FEE ��)on SUBDIVISION ��4' .�5•f4'� �7 LOT BLOCK
OVERTIME FEE
METER INSTAL BILLING ADDRESS Sei �'►1
CFC/WATER EMAIL ADDRESS: b j^IQ n cj m ei 1 ( , CO✓►�
�• ��
FPUA CFC PHONE# l S q . 3 S-o 3 MOVE IN/CLOSING DATE
CFC/SEWER
GUAR. REV. 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
$ J 7�1-6 C� TOTAL Utility promptly for such services in accordance with the established rules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER 4y"'4
SIGNATURE SOCIAL SEC/FED ID
NAME OF SPOUSE r SPOUSE SOCIAL SEC.
OFFICE USE ONLY
DATE RECEIVED C;q'a ' CASH CHK# RECEIVED BYP1 P I q c -p-
F-' 4