HomeMy WebLinkAboutMisc Letter • y O'BOX 7281 FT PIERCE FL.34982 , � `
r ST LUCIE COUNTY UTILITIES P
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SECURITY DEP r SERVICE-Ab
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SERVICE FEE
SAME DAY FEE k
. r SUBDIVISION :: .LOT
OVERTIME FEE
L BILLING ADDRESSG}61/1 '
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METER INSTALL
'CFC/WATER
'FPUA CFC,
PHONE# Z' 7 �3 MOVE IN/CLOSING PATE .
CFC/SEWER
,GUAR REV
Thig application hereby request and authonimAhe Utility to render water and/or sewage=disc o
services to the premig'es desct'bed above m accordance with,tl a Uhhhes present or future rat
4LATERAL' rujes`and regilattons,which by reference are made a part of this'contract:Applicant agrees to p
im the UUhty promptly for such>services Jh accordance with the.estabhshed rules and regulattot
OTAL CUSTOMERS DPOSITS`ARE NON NEGOTIABLE QR TRANSFERABLE
CUSTOMER f SOCIAL SEC/
SIGNATURE (.
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FED
NAMEOF SPOUSE, iI SPOUSE SOCIAL SEC
t{ r` n „F OFFICE USE`ONLYx �} �1
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CHKa#x,,�z..\., .. RECEIUEDrBY,`'`V, .'
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