HomeMy WebLinkAboutUtility Company Approvalj/ WATER
SEWER
METER SZ.
CST LUCIE COUNTY WATER & SEWER DISTRICT (SLCU)
NEW CUSTOMER APPLICATION
COMM
V17 'RES
M/F
IRR
r I- SECURITY DEP
$
SERVICE FEE
SAME DAY FEE
OVERTIME FEE
)6 METER INSTAL
CFC/WATER
FPUA CFC
CFC/SEWER
GUAR. REV
-LATERAL
� a
$ 08 TOTAL
ACCT. # 155-1007 133 0 q
SERVICE AD
SUBDIVISIO
BILLING
3 I_Ltao
LOT BLOCK_
EMAIL ADDRESS:
PHONE #`7 �t� o cJ—/ L/I 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 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.
APPLICANT AGREES THAT APPLICANT WILL BEGIN PAYING BASE FACILITY CHARGES FOR THE UTILITY SERVICE
71 APPLIED FOR ON TEE DAY THE WATER METER OR OTEER UTMW SERVICE CONNECTION IS INSTALLED AT
APPLICANT'S PROPERTY, REGARDLESS OF WHEN APPLICANT STARTS UTII.IZING TEE METER AND/OR SERVICE.
�J OFFICE USE ONLY
DATE RECEIVED ` `� �` �� CASH CHECK# ����� �" RECEIVED BY