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HomeMy WebLinkAboutUtility Company Approval .......... ........... . ..... EFL' L ST LUC I E-C OUNT-Y—WA-TER.-&-S-EWER-DISTRICT-(.SLCU)---- NEWCUST MER-APPLICATION li WATER', COMM' 4. SEWER RES' NAME' sit METER.SZ., M# ACCT.,#— (o JR11 'SECURITY DEP' SERVICE ADD RESS 1-kil cam- SERVICETEE, RL-X,- DLO Ad"' ' ,SAME DAY SUBDIVISION...'- LOT BLOC OVERTIME FEE ell BILLING�ADQRESS� aa, 'METER INSTAL .0 CFC/WATER EMAIL ADDRESS: 'FPUA CFC -PHONE#! MOVE,IN/CLOSING DATE, ,CFC/SEWER 'and/b r sewage,disp6sal :GUAR, REV-. :th!sa 011c 't do hereby requests -,tprend'erwater _p, _a,j � .y .q . . - .- . .y I - � - ­ . . services to theprprnises'descri.bed r aboveln accordance,with the Utilities present,or future:rates,;!rules,!qrtd LATERAL regplations�.-Whith.by,rpfer:e'pce.:are.rba.de,a,part,pf.this fzp-htract.A plicantagrees-toppyUblit.-y p promp#y,for $ 6D&W TOTAL such seNices':in,a'tc.otdance-with't.he,egtiblishdd rul-esrand,lregulations. CUSTOMERS DEPOSITS ARE NC)IN;.NEGQrTIABLE,bA,TkANSFERABLE-.- :APPLICANT AGREES 'THAT APPLICANT WILL BEGIN PAYING)mn-FAciLiTy CHARGES-.FOR- . . . . ­ =1 UTRITY SERVICE APPAPPLIED :F OR ON =1 DAY THE; -WATER. METER OR. O'l UTff2IY :SERVICE ,.CONNECTION IS INSTALLED' .AT APPLICANTSTAR' , UTILIZWG�THE METER AND/OR SERVICE. ,REGARDLESS v APPLICANr,&PROPERTY EEJ� CUSTQMERSIGNATURE SOCIAL'SEC/FED iD NAMEDRSPOUSE SPOUSE,$QdAL "OFFICE-Uk-ONLYT dP% DATE.RECEIVEDoV CASH CHECK#Rs 410 RECEIVEDBY