HomeMy WebLinkAboutUtility Company ApprovalWATER COMM
SEWER RES
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SIGNA
ST. LUCIE COUNTY UTILITIES - P.O. BOX 728,,FT.
,P`I�ERCE, FL 34982 MAR 0 3 2020
NAMROCY' 6"V- Z 1aD� OQL-Q *�eS I .
ACCT. #
NO &5 11 __ 1) .
SERVICE:ADDRESS Li-1 0:3 J�-� -
E C_Po J_ 1
R n.
SUBDIVISION -�-- �a LOT 2-0 BLOCK 140 L4/Ki, 1C1
BILLING ADDRESS
EMAIL ADDRESS:
PHONE #-1 l Z 134 MOVE IN/CLOSING DATE
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, rules and regulations, which by reference are made a part of this contract.
Applicant agrees to pay Utility promptly for such services in accordance with the established
rules and regulations. CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR
SEC/FEDID *
NAME OF SPOUSE SPOUSE SOCIAL SEC.
OFFICE USE ONLY
DATE RECEIVED- CASH V� `RECEIVED BV.
.