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rucer ������� <br /> souNo REPAIR REQUEST � � � <br /> ENERGY �O <br /> WST ACCT N0. } <br /> PUBLHASER INFp. �FIqST,MiDD�p,�t NAME) DIAGNOSTIC R E P 0 R T Q <br /> �� �� ;:, x <br /> noonEss F, <br /> K'' BLOWER <br /> �iry ' � " ' ° � SECTION <br /> . . . StqTE - Z�p VEM PIPE <br /> SERNCE AODRE55 (FIqST,MIDO�E,LAST t1AME� ' <br /> INPUT <br /> ��E� CONTRpLS � <br /> � <br /> CITV STATE I�P GAS P PMG } <br /> Y <br /> CO READS Z <br /> �ICOMPLETED ❑PAqTS NEE�ED ❑CUSTOMER NOTCE HEAT Q <br /> COMMENTS_ �� � . ExCHqNGER I <br /> ��' � �!' �� r ,e. t ��. <br /> � � • � BURNERS � <br /> �_ <br /> FILTER ❑ a�Eoi5I2E <br /> FAC <br /> T-STAT <br /> WATER H7R. � <br /> SIZE/GAL. <br /> EAflTHOUANE O <br /> STqqpS } <br /> HEPOqT Y <br /> APPLIANCE MRKE Z <br /> �k.0 ❑ ❑ c n❑rn MODEL SERIAL NUMBER Thank ypa The Chttkup Irom Pu e�Sound En � Q <br /> �� compreh¢nsive natural as ins 9 �Y is a <br /> APPLIANCE MAKE MODEL OEtaiI50�lOrquMliunS,plea5e�1'�-BOp�-55o2�dgp011 F <br /> senini NUMeea NEXT INSPECTION BEFORE: Pe.3. <br /> . , <br /> . . <br /> PARTS � _ <br /> g l., . . � EA. ' <br /> SERVICE <br /> EA. 1 ] <br /> � � <br /> IT IS AGREED THAT THE WARRANN SET FORTH ON THE REVEqSE HEREOF IS � } <br /> PART OF THIS CONTRACT AND QINDING UPON THE PARTIES HERETp. UBOR uRS. � ' Y <br /> NOTICE TO CUSTOMER: TOWN CODE Su8-TOTAI � Z <br /> Q <br /> LATE CHARGES:A LATE CHARGE EOUIVAIENi TO ONE(1) pERCENT OF THE SAlES Tax q�, I = <br /> CURRENT AND ALL PREVIOUS UNPAID BALANCES DUE OR FIF7Y GFNTS, F <br /> WHICHEVER IS GREA7ER WILL BE ASSESSED IF SCHEDULED MONTHLV Pqy- 70TAL ' <br /> MENT IS NOT RECEIVED BY THE NEXT BILLING DATE. <br /> 81LLIN6INOUIRIES: AMOUNTRECEIVED t <br /> OROCN iqK[N 9Y � <br /> FOR ALL INOUIRIES OTHER THAN THE CHECKUP PROGqqM, PLEASE C�LL BALANCE oUE <br /> (425)454-2000 OR TOLI.FREE 1-888-225-5773. NUMBER OF ] <br /> MONTHS___ MONTHLV PAyMENT 'J <br /> L�D�EAMOUNtO1YINGONiIliSP[PAIqR[OU[5IIVRLDBINCLUOEOONiHENEXTpiLLFOqTH15 ❑TH[ qMOUW OWING ON TMIS R[PAiR q[OUEST WILL bE piLLEO iN TNPEE EOUAL Y <br /> f9lLING AD�n[55 ANp iS UU[t5�AYS AFiFR iHE OILLING DATE. <br /> ❑1HE�MOUNi pW�NG ON THIS REPAIq qEOUEc{yy��L pE DILL[O IN iNT)[OUqI INSTAILMENTS ��STALLM1I[NiS,9EGINNING WI1H TIIE N[%T BILL 1 OR THIS DILIING ADDPES$qND CON➢NUING <br /> [IFGP01iNr- pIqOUGH iHE NE%t TWO CONSECUTIVE MOMHLI'BiLLIryGS. PAYMENiS AqE WE 15 O�YS Z <br /> \Yli��THE N[XT BitL FOR TI�IS BIILiNG RODfiESS AND CONtINUING TIqWGN iHE <br /> NE%t CONS[CU11lE pilllNG.PqVMENTS ARE WB 15 OAYS Af'fEq TH[91lL�NG DATE. ARER���E BLLiNG pTiE. <br /> CUSiOMERRGRCL5i0PlIRCIV5EI11EItEM5O5iE0AHOVCACCORDINGI0TNE1ERM55Ui[OH[REIN q��EPiEDOY . � <br /> X r , , � <br /> CUStOMER5IGNRTURE �y�i � � � <br /> PVGET SOUND EN[qGY � , � <br /> UN�EPWAqq - �y�� COMP�ETIONURE SiAPiTIMi WAIMRIONtI4C LGSfO LEASFDp�iE �cc'aunrq <br /> YES NO � <br /> ❑ ❑ .., �i . _ � . � . ,I . ncsv wac <br /> ':9M.rqrqE oneMltlw x[ol�c� . �ralmv�w: � . . . •: , ❑YES�NO / vaWs �-;� . <br /> Mv�,�[M WPiil(N WRiil[M NArt1IN NA�jN 1Mi�N �LCYNO f4%Ovlf r� � / � <br /> ONpEFWAqq �q�PpE �pyp��J�OND�if 51,1qTtIMF COMI`lEilONi1ME <br /> ❑YFS NO lEA5E0 lFASED�AiE �ccqrvir,�p � <br /> ❑ �srcmr } <br /> �St�wt�N.� �µa�{j�q wF��'� i0.tmv-uv ❑IF.SQNO � PAqiS V <br /> tKirnv wn:tl[N YM Tn rvn�RM @tCxMo i <br /> UNpEN W4NP N>.Ov[f � <br /> vf5 110 ��«P� COIAV�E710N�AiE SiPqii;1A[ COMPIFiIOHiIMF LEnSfD LUS[�UAiE h-s.prvi.q <br /> ❑ ❑ �cso ceoE _ � <br /> tuRxlmttE on�M6t1�G ntor�G ❑�ES�XO / VIiPi$ L <br /> M�'if4 15AIinN 1M�rtFh fIXlPYI1V �q 1_ <br /> �195 5/01 ��RFN �yq.�N y/pi�j}�y tRyqyp lMqO�iF <br /> — L M1YHIiE�CUST ACCOUNT, B.�YGLL0IV�STOREROpM; 3 ry�NKJ CUS70MERi\VAqqANTy <. g�U Mql�l�� � <br /> � E1 SEPVICES%RD-LL <br />