Common Contracts
1 similar Gas Service Agreement contracts
GAS SERVICE AGREEMENTGas Service Agreement • November 8th, 2001 • Washington
OWNER/PROPERTY INFORMATION OWNER NAME (“CUSTOMER”) HOME PHONE OTHER PHONE SERVICE ADDRESS CITY ZIP SQ. FT. YEAR BUILT MAILING ADDRESS CITY STATE ZIP EXISTING SOURCE HEAT EMPLOYER HOW LONG SOCIAL SECURITY NO. SPOUSE’S EMPLOYER HOW LONG SPOUSE’S NAME SPOUSE SOCIAL SEC. NO. TENANT/RENTER INFORMATION TENANT NAME HOME PHONE OTHER PHONE MAILING ADDRESS CITY ZIP EMPLOYER SOCIAL SECURITY NO. SPOUSE’S NAME DEALER INFORMATION DEALER NAME REP NAME PHONE NO. DEALER NO. FACILITIES EXTENSION AND GAS USAGE INFORMATION GAS EQUIPMENT TO BE INSTALLED WITHIN 6 MONTHS OF METER INSTALLATION: AS VIEWED FROM THE STREET YOUR HOME IS ADDRESSED FROM GAS METER TO BE LOCATED: CENTRAL HEAT WATER HEATER COOKINGHOT TUB CLOTHES DRYING FIREPLACE OR SPACEHEATEROTHER LEFT SIDE OF HOME FRONT OF HOME RIGHT SIDE OF HOMEPLACE GAS METER STICKER (IF AVAILABLE) AT SELECTED LOCATION N FIREPLACE AND/OR SPACE HEATER WILL BE USED AS SOLE SOURCE OF HEAT IN AREA APPROXIMATELY SQ. FT. O F F I C EU S E MAIN, SERV
