HomeMy WebLinkAboutST LUCIE COUNTY UTILITIES(WATER
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ST. LUCIE COUNTY UTILITIES:- P.O BOX Z28 FT. PIERCE FL.34982
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BILLING ADDRESS 1$
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PHONE # -MOVE IN/CLOSING DATE
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This application hereby request and authorizes the Utility to render water and/or sewage dispos
GUAR. REV.
services to the premises described above in accordance with the Utilities present or future rate
LATERAL
rules and regulations, which by reference are made a part of this contract. Applicant agrees -to pa
Utility for. such services in accordance with the established rules and regulation;
TOTAL
the promptly
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE. J
'CUSTOMER
SOCIAL SEC/
'SIGNATURE'
FED ID
NAMI;OF SPOUSE
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SPOUSE SOCIAL. SEC:
t1O' FICE' E ONLY
DATE RECEIVED .1 'y' CASH
_-` CHIC # RECEIVED