HomeMy WebLinkAboutWATER & SEWAGE NEW CUSTOMER APPLICATIONr NT i " ,
El' ILLI G ST LUCIE COUNTY WATER,& SEWER DISTRICT (5LCU)
NEW -CUSTOMER APPLICATION.
WATER Comm
StWER RES,
METERSZ. M/F
,SECURITV 'DEP
5E11VICE,`FEE
SOME DAY FEE
OVERTIME FEE
ME
TER L
01) CFC/WATER
FPUA CFC'
c5 CFC/SEWER
GUAR, REV.
LATERAL
4- TOTAL
0
ACCT. It
-86861VISION,
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BILLING
EMAIL MOMS;
PRO N E # MOVE I.N/CLOSINGDATEL,
'Thls,.appliceition,h,e-te0y.reqoetts ond.authorizes'the Utility 6
Vlo. renderwaterandjor t wage disposal
services tolhererrils s described_above-Inaccordance.w, . iththeU611tiesprese"t.0 rft
.' 0a I . ure. rates; rules and
regulatforff'rWhich 4y,,reference are made apart of this pontract.,A'politant-.,agree$,toay LIM
-p Utility-promptlyfor
sqck'services-In accordance -.wtth.t he.ettabllihed rules and re ul'
COS-T.DMERS-'DEP.IOSITS:ARE_NOLN NEGOTIAB IX"911TRANSURAOLE.
APPLICANT AGREES THAT 'APPLICANT 'VVILL,111EGIN. PAYING BASE TACIT ITV CHARGES _FOR 'THE U rHM'-T,- SERVICE:.
APPLUD FOR ON THE DAY THE WATER OR OTHER UTHM—Y SERVICE CONNECTION Is: INSTALLED l AT
APPLICA" S Plt?PF-P-TY, RE C.ARDLES 9 bF V WHEN APPL
ICANT $r 'MTER ANDVOR 9MVI,
STARTS THE
.METER
SPOMESOCIAL
OFFIICE:LISEONLY-
RECEIVERBY
DATE RECEIVER CASH CHECK,#