HomeMy WebLinkAboutSLC Utilities Receipt`�- WATER COMM
SEWER RES
METER SZ. MIF
9 Qa IRR
SECURITY DEP
SERVICE FEE
SAME DAY FEE
ll 0VERTI&M FEE
METER INSTALL.
CFC/WAT.ER
FPUA CFC
CFC/SEWER
GUAR REV,
LATERAL
'CJSTOMER
iIGNATURE
DAME OF SPOUSE
MOVE /CLOSING DATE
11,
E I� 1�1 c�OTX�c�
�ConJNta�V..r
This application hereby request and aut services to the premises arh iies�the Utility to renderwater o sewage
rules and reguilations, described above in accordance with the Utilities present or future rates,
which by reference are made a part of this contract. Applicant agrees'to pay
the Utility promprly for such services in accordance with fire esiablisited rotes and regulations.
CUSTOMERS DEPOSITS ARE NON NE(IOTIABLE OR TRANSFERABLE.
M SEC/ .
FED ID 9 — �(���/ Ip
7
SPOUSE SOCIAL SEC. n
T-,a,ria uprr;rvpr)3 !`AGN OJ"Aluz USE ONLY
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