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Home My WebLink AboutNew Customer Application FeesWATER SEWER 5g METER Si. I CAE, ST LUCIE COUNTY WATER & SEWER. DISTRICT (SLCU) Wji NEW CUSTOMER APPLICATION COMM RES M/F IRR or $ #� SECURITY DEP SERVICE FEE SAME DAY FEE aa OVERTIME FEE J �- DD METER INSTAL 3/2%3_ UQ CFC/WATER CUSTOMER FPUA CFC CFC/SEWER 2LI GUAR. REV. LATERAL TOTAL NAME A&4W wzmer ACCT. # SERVICE ADDRESS C U Vi 4, M " P" r F- -1, v SUBDIVISION _ LOT f`�' BLOCK BILLING 6alle EMAIL ADDRESS: p n r PHONE # — 0 '7 7F MOVE IN/CLOSING DATE rl &Q:cZ3 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 UTII.TI'Y SERVICE APPLIED FOR ON TBE DAY THE' WATER METER OR OTHER UTILITY SERVICE CONNECTION IS INSTALLED AT APPLICANT'S PROPERTY, REGARDLESS OF WHEN APPLICANT STARTS UTILIZING THE METER AND/OR SERVICE. NAME OF SPOUSE SOCIAL SEC/FED ID SPOUSE SOCIAL j� OFFICE USE ONLY DATE RECEIVED` `-E' ` CASH CHECK # RECEIVED BY �lorS'J�