HomeMy WebLinkAboutUtility Company ApprovalCOUNTY WATER & SEWER DISTRICT (SLCU)
St. Lucie County - PUTIL
08-11'-2021,
=W CUSTOMER APPLICATION
12:01:46
WATER
2117MM0/7701
FLRTPIEUSTOR HOMES, LLC
Arnim %
K SEWER
34949
jS77Jm
METER SZ.
Amount Tendered; 214.00
Amount Paid: 214.00
$ 6-7 d a
Change Due: 0.00
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User ID: MURRAYA
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METER INSTAL
CFC/WATER
FPUA CFC
CFC/SEWER
GUAR. REV.
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LATERAL
$ / . 60 TOTAL
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BILLING ADDRESS o�U43 <�T-'% I�L� ,�Q� L7/� � R �
EMAIL ADDRESS: ba�n&)vi P LC lam' Y 1
PHONE #ram `7oZ) �Y3 "c3 9%, 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. r
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
APPLICANT AGREES THAT APPLICANT WILL BEGIN PAYING BASE FACILITY CHARGES FOR THE UTILITY SERVICE
APPLIED FOR ON THE DAY THE WATER METER OR OTHER UTHM SERVICE CONNECTION IS INSTALLED AT
APPLICANT'S PROPEFXV, REGARDLESS OF WHEN APPLICANT STARTS UTILIZING THE METER AND/OR SERVICE.
CUSTOMER SIGNATURE
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NAME OF SPOUSE
SOCIAL SEC/FED ID !S�
SPOUSE SOCIAL
OFFICE USE ONLY
DATE RECEIVED t a CASH CHECK # ( RECEIVED BY T ►Y I�