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SOUTH WEST 23.3701 <br /> PLUMBING ,3/076 <br /> 2401 SW ALASKA ST.•SEATTLE,WA 98106 <br /> (206)932-1777•FAX(206)933-1576 <br /> CC#SOUTHWP071 C6 <br /> TIME ORDER DATE CUSTOMER PHONE NO. SERVtC TECH. TERMS t 'LHECK CI CASH 0 CREDIT CARD <br /> BILLING JOB LOCATION <br /> • <br /> • <br /> /19 <br /> • <br /> DIAGNOSIS: <br /> , g.d" a.PWtk <br /> TASK#'S SOLUTION/WORK: <br /> ,445v et.71754 hrie3A4 129 <br /> • <br /> .art• • <br /> PAID BY: ' CHECK INITIAL ADDItrONtAL-RLMA KS:' 4.1 ' <br /> CREDIT CARD ❑GtASH . r7t g SUB• A <br /> cNEck# . .. . t <br /> AU't'Fi:# • :: • 1$ 437 <br /> • • PRobuctiNFO i , :' ' • <br /> I here b dec Ins to have the above work performed at the Stated flat rate price. TOTAL .t '�'. r <br /> MODEL# • '.,•. .1.; ;? '. .r : <br /> 'thank Youfoi calling <br /> SERIAL.#: . . •_ . . sttIna}tlre:. . t. t�.;:±.SQ•UTH:,WFSTPLUMRlNG <br /> �y� WORKCAUTHORiZATION NOTES/TERMS:payment in full upop completion., <br /> AUTFtOtfl7ATION TO-PROCi EO tikri-i36/f'DIAGNOSIS')SOthT(0!'1 1;`Ihe uhderelgned,'an • ' <br /> ownerlaulhorized representative/tenant of,the,premises at which the,work ptentioneit above is to be r <br /> dohs:i hereby`authorize you to perform Di no3ls/Soldtlon,tin(1 to use stleh.Ia r.and,materials as you' • .. • - <br /> deem advisable.A monthly service charge of 1.5%will be.added after 30 dayyss. I agree to pay <br /> reasonable attorneys fess arid court costs In lh's evenfof legal action.•lf yourcheck pounces,you could' .•• • <br /> be liable for 3 times the amount of the check or$100.00,whichever.is more,plus the face value of the . <br /> check-and:court costs.I;heve;reerilthe,front anoxic of;this.imrotce.and'MR to ell'he terms And .A00ERTANbE'bF WORK t'ERFORMB0:1,1fr'fl tie•eerviee and materials <br /> conditions set forth and have race d a copy of ihe.cohlreel, ' , rendered and Installed In connection with the above work mentioned to have <br /> I HEREBY AUTHORIZE YOU TO 0 N T THE.Ai.O WOR AT, FIAT RATE QFi,$ been;compieted in p mitigator"rrrannect I egret)((et the amount set forth on <br /> • '!• tt this contract in the space labeled"TOTAL'lobe the'totel and cornplete flat <br /> .Authorized Signature 1j/ ., . .ratermtnlrnum charge,f•agree to•pay re$dpIfable,attorn s fe and court <br /> costs in the event of legal ache men hl/service e r of `Yo vi be <br /> t CERTIFY THAT THE WATER 1 do eby state that a work bait;' are*In aworkmaolike manner. ! !' <br /> • • <br /> i <br /> cp <br />