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,COMM ST.LUCIE COUNTY UTILITIES-P.O.BOX 728,FT.PIERCE,FL 34982 —SEWER / RES 1<2 NAME METER SZ. MIF ACCT.# IRR /�} j} j ro $. 't1y SECURITY DEP SERVICE ADDRESS / � � /z0�• SERVICE FEE yam. 'SAME DAY FEE `< I `—' SUBDIVISION LOT BLOCK OVERTIME FEE METER INSTALL. BILLING ADDRESS CFC/WATER FPUA CFC PHONE,# .7q __:5 -7�7`©W MOVE IN/CLOSING DATE CFC/SEWER GUAR.REV. 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, LATERAL rules and regulations,which by reference are made a part of this contract.Applicant agrees to pay J��a^ the Utility promptly for such services in accordance with the established rules and regulations. 00 -�! 7 TOTAL, CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE. CUSTOMER SOCIAL SEC/ „ SIGNATURE 1 - // FED ID NAME OF SPOUSE 'SPOUSE SOCIAL SEC. OFFICE USE ONLY /a. nATR RVrWTVT~rr `l ' I reAov ....v ,1 .--_---- -__