HomeMy WebLinkAboutUtility Company ApprovalL LU
- 7.1
ATER
�SEWER
Comm
� W1
✓ RES
METER SZ.
M/r
IRR
$
SECURITY DER
SERVICE FEE:
SAME DAY FEE
OVERTIME FEE
METER.INSTAL
CFC/WATER
FPUA CFC .
CFC/SEWER
GUAR. REV.
LATERAL
7
$ f -77 TOTAL
ACCT.
ST LUCIE COUNTY WATER & SEWER DISTRICT (SLCU)
NEW CUSTOMER APPLICATION
wat/ / O
SERVICE ADDRESS
Fort.Pierce, FL'34945
SUBDIVISION LOT BLOCK_
BILLING ADDRESS' NO
8MAILADDRESS QMPARRINOO)DRHORTON.COM
PHONE t0Q)) MOVE IN/CLOSING DATE
This application hereby requests 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 rerfbrence 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 TRANSFERABLE.
-APPLICANT AGREES THAT APPLICANT WILL BEGIN: PAYING BASE FACILITY CHARGES FOR T11E.UTffXff. SERVICE
APYLM FOR ON THE DAY TEE. WATER - METER OR OTEIER UTILITY SERVICE:: CONNECTION IS ..INSTALLED AT
APPLICANT'S PROPERTY, REGARDLESS OF `WHEN APPLICANT STARTS UTM12ING THE METER AND/OR SERVICE.
CUSTOMER SIGNATURE Z? SOCIAL SEC/FED ID.
NAME OF SPOUSE. SPOUSE SOCIAL -
OFFICE USE ONLY
DATE -RECEIVED CASH CHECK# RECEIVED BY