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DocuSign Efivelope ID:45EEE1A9-A956-4802-A4B0-91C7431D0708 <br /> PUGE7 NATURAL GAS ALTERED Service Contract is <br /> subjto revision <br /> PSE SOUND FACILITY SERVICE CONTRACT dayysect afterr 10/76/190 <br /> ENERGY <br /> Customer(Owner)Name Co-Owner Name(if applicable) <br /> Rachid Ayouni <br /> Service Address City Zip Code <br /> 2727 Colby Ave Everett 98201 <br /> Mailing Address(if different from above) City State Zip Code <br /> Primary Phone Alternate Phone Email Address <br /> 206-841-4070 rachid.ayouni@gmail.com <br /> Type of Service Required <br /> Q Residential ® Commercial <br /> Your Natural Gas Usage Plans Additional Job Details <br /> YOU CHANGE YOUR APPLIANCE SELECTar" SF NOTIFY YOUR PSE REPRESENTATIVE Upsize existing A250 to A630 <br /> Existing New <br /> Gas Usage BTU/HR BTU/HR ANNUAL THERMS <br /> ❑ Space Heating <br /> O Water Heating <br /> ❑ Cooking <br /> ❑ Dryers <br /> X❑ Pizza Oven 200k <br /> O Griddle 200k <br /> ❑X Char Broiler 100k <br /> Q Deep Fryer 180k <br /> O Convection 160k <br /> Total: <br /> Heated Square Footage: <br /> Desired Delivery Pressure at Meter ®6"W.C. Q _psi <br /> Payment Information <br /> � 1 <br /> Customer Payment: Pay$0.00 prior to scheduling installation of facility. <br /> TOTAL CHARGES $0.00 <br /> Customer Acceptance <br /> By signing this Service Contract you are authorizing PSE to continue with all the needed elements to complete your project.Upon receipt of a signed Service <br /> Contract,PSE will bill you for the amount indicated at the mailing address shown on the Service Contract.Please follow payment instructions on that billing <br /> statement.PSE requires payment prior to firming up a construction date;delaying payment may result in a construction delay.Changes in the scope of the <br /> project requested by you may result in either additional charges or refunds to the amount billed on this Service Contract. <br /> It is agreed and declared that the terms of conditions set forth herein and on the reverse hereof are part of this Service Contract and binding upon the <br /> parties hereto.Customer grants permission for PSE to access credit information when necessary.This Service Contract is not valid until accepted by PSE. <br /> Customer acknowledges the receipt of a copy of the Service Contract. <br /> Important Note: <br /> In addition to the charges above,you will receive a bill from PSE for monthly basic charges as soon as the meter is installed. <br /> DocuSigned by: <br /> r� uQI�O �7u Rachid Ayouni 11/6/2017 <br /> Customer Signature Print Name Date <br /> -6D6748AEA53B420... <br /> Notification Number 505102935 <br />