HomeMy WebLinkAboutUTILITIESSCANNED
BY
St Lucie County
St. Lucie..Count - PCIS'
04-19-2018 013:42:18
17055/6366
RYAN HOMES
5308.O&AND LAKE CIR
FORT PIERCE
FL 34951 .
Amount Tendered: 608.00
Amount Paid: 608.00
Change Due: 0.00
Thank You
User ID: MURRAYA
/ p LATERAL
$ ! n 0 0 t TOTAL
CUSTOMER
SIGNATURE
NAME OF SPOUSE
DATE RECEIVED
RECEIVED
MAY 01 2018
ST. Lucie County, Permitting
FT.
[CE ADDRESS
S (DIVISION "�--'.;""�L-- � LOT t� � BLOCK
BILLINGAbDRESS
PH I NE # 1J , l�J � '� MOVE IN/CLOSING DATE
Thi application hereby request and authorizes the Utility to render water and/or sewage disposal
se ices 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
thelUtility promptly for such services in accordance with the established rules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
1 SOCIAL SEC/ 5 Ll 39
t( �
FED ID 1
ISPOUSE SOCIAL SEC.
I
OFFICE USE ONLY CAS' I CHK # ` RECEIVED BY