HomeMy WebLinkAboutST LUCIE COUNTY UTILITIESPORT ST. LUCIE P
2401 SW MOB
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PAY
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RECEIVED
MAY 2 3 2018
Lucie County, Permitting
)PERTIES, INC.
TREY LANE
E, FL 34953
1MOO i463u5 1:0G' 00677SI:
WATER COMM
SEWER _ RES
METER SZ. M/F
C IRR
$ 5? J SECURITY DEP
SERVICE•FEE
SAME DAY FEE
2 OVERTIME FEE
o METER INSTALL,
CFC/WATER
FPUA CFC
CFC/SEWER
GUAR REV.
LATERAL
`J 06 TOTAL
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CD
0
RECEIVED
MAY 2 3 2018
ST. W02 Ceurq/ PL1rrh1tting
07-16 1463
63-677/670
DATE/ZZ _ • oe
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$
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106 789411■
ST. LUCIE COUNT' UTILITIES - P.O. BOX 728, FT. PIERCE, FL 34982
NAME�T rO r-r 5 r Il A-) !Q P f ra f f—(r) Q
ACCT. # IqMv — 1i2 Yo q
SERVICE ADDRESS' 5 So 7 &/ DZ b Pr -
SUBDIVISION LOT I BLOCK
BILL-ING:4DDRESS (,l
I�.SL �/ • 3 L/ R S 3
PHONE # 7] N 9- 0 0 8 iv 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.
—SIGNATURE- -
SOCIAL SEC% T4X 10
�. FED ID P. O '