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HomeMy WebLinkAboutUTILITIESi ST. LUCIE COUNT' NAME `.'St:: Lucie -County - PCIS 05-01-2018 10:44:35 .17055/6396 `RYAN HOMES 5320 OAKLAND LAKE CIR FORT PIERCE FL 34951 Amount Tendered: 608.00 Amount Paid: 608.00 Change Due: 0.00 Thank You User ID: RODRIGUEZM ACCT. # SERVICE ADDRESS I I I D I; -- 6.? CI /a �O O.A �<oC,-n 6 Lo, Lc__, :El SUBDIVISION Q LOT V BLOCK LL.' BILLINGADDRESS v c.- PHONE # -rL MOVE IN/CLOSING DATE 'This application hereby request 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 the Utility promptly for such services in accordance with the established rules and regulations. CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE. SOCIAL SEC/ � t °2 G C/ FED ID l \,! t ! lJ SPOUSE SOCIAL SEC., /1r% \ rf OFFICE USE ONLYf DATE RECEIVED 1 ► [ 1 CASH CHK # 1� U �RECEIVED BY RECEIVED MAY 0 2 2018 ST_ Lucie County, Permitting