HomeMy WebLinkAboutMisc Letters WATER COMM ST.LUCIE COUNTY UTILITIES-P.O.BOX 728,FT.PIERCE,FL 34982
SEWER RES NAME 1� A
—
METER SZ. MIF
IRR ACCT#
5: 00 SECURITY DEP SERVICE ADDRESS
SERVICE FEE
SAME DAY FEE SUBDIVISION LOT 12 f
OVERTIME FEE _VW_L_BLOCK
METER INSTALL.' BILLING ADDRESS
CFC/WATER
FPUA CFC PHONE# 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
the Utility promptly for such services in accordance with the established rules and regulations.
$ TOTAL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER SOCIAL SEC/
SIGNATURE FED-ID-
NAME OF SPOUSE SPOUSE SOCIAL SEC.
OFFICE USE ONLY
DATE RECEIVED CASH CHK# RECEIVED BY10tould