HomeMy WebLinkAboutUtility Company ApprovalY SEWER
METER SZ.
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SAME DAY FEE
OVERTIME FEE
METER INSTAL
CFC/WATER
FPUA CFC
CFC/SEWER
GUAR. REV.
1. . LATERAL
TOTAL
SERVICE
ST LUCIE COUNTY WATER & SEWER DISTRICT (SLCU):
NEW CUSTOMER APPLICATION
0/ �P- 11VIZ-7-6AJ
Fort Pierce, FL 34945
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BILLING
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EMAILADDRESS:. fDMPARRINOOD-DRHORTON.COM
PHONE O13. )J -3— W e� MOVE IN/CLOSING DATE
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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 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 TRANSFERABLE.
E:1 APPLICANT AGREES THAT APPLICANT WILL BEGAN PAYING BASE FACIMY CHARGES FOR THE DTIrM SERVICE
. APPI.M) FOR ON THE DAY THE WATM METER OR OTHER •UTILITY SERVICE CONNECTION IS' INSTALLED AT
APPLICANT'S PROPERTY, REGA.RDLESS OF WHEN APPLICANT STARTS UIT1'..TMG THE METER AND/OR SERVICE.
CUSTOMER SIGNATURE 77-7 74M= SOCIAL SEC/FED 1D
NAME OF SPOUSE
SPOUSE SOCIAL -
OFFICE USE ONLY
DATE -RECEIVED CASH CHECK# RECEIVED BY