|
_ - >�:,:-
<br /> > ;'y' aiA�"� �� - t; .� :,. ,� ., ,. �a'.� � I
<br /> .- , � � :;�
<br /> r 1� ! n
<br /> { �17� � .t r �.
<br /> �
<br /> rt - + i
<br /> jix:
<br /> tit .
<br /> .r ".;
<br /> I � , ,rk tE}�!P �1,0 . 8 �
<br /> I .;;�'. ' .4'�k�,` Y i �, ':i°r
<br /> �.
<br /> .M1r
<br /> d,a �� . Rr: � ���,
<br /> 5 �. � t � . A c +�i �= J ' i
<br /> � { � "�P�.!r.obe O1�(wner Nam�i att'Fie� � ,sY�� � � v
<br /> h . i �fl T:� iY�", � K � J� � J �l '� �� �
<br /> M.,� + . F� f h'S : . ,`��" �'h` � �
<br /> .'t � ' .1 � .c. Y ti ..1�: e.
<br /> I :� �j} (nstallat n Address SS�etmbre �e '. �.c.r ^ �• !
<br /> �� .`.. i. •;IIt�(y��. �..R , +�< } � tr , .
<br /> ��� � , ric� . � � . ,v �r^A ��, i
<br /> Y
<br /> �"� � '� Cit tt , �i :.e Stat�WA = �11��Zi 982 . +k + :
<br /> ��� a tP �r1`; � ��� s �.az . h, lM '�"�`. �Rl:t . ', � �r. .
<br /> . . ...ti _ r �+' � � f.. � .t�r � � . F
<br /> ,, �,Malling A ��`ss(il diflerc�nt) i. .� 3� . �� c..+ , ,
<br /> �. 6 3 �f j. � � 1�. 1 ��r i ' t� a� .4 � ��lf 1 Y � a� .
<br /> �R��- .
<br /> ' ����t` �'tia�'�� i c� ��41i Stafe`��i . .r K _Zip� iJC. I iRlk. , ,
<br /> i z � � ,� ,, - � . 5,�, � � e- ; 1� I
<br /> I ' �E�mdll�'mm,�fr'etl ou`I ok com ��'�1`�'� '�,'Pho e: �
<br /> � � -i 1� 'f. a a , y4 ' j��..
<br /> i .'� � � �l% . S�;,C1 ' �: ♦ tI ..., f. � +r � ` T .r 'j..•:. 1�. .
<br /> � s s ��otal Cbbt�sla�.l��l yD Wce (/rom oontractor ufvoi�e) S 2 �F ! w! ' - •;
<br /> 9 i r �+�'< ,�
<br /> � 'a �`'T '{ ���ilY, �i�.S��fc��. .' ' S .�� .i .�; � . - �
<br /> . j
<br /> i � r; ���. ' _�� . C�-r '�'�n i � 4 �.�;;•• "i K
<br /> � 1 +^ / Y
<br /> �'°� + PI''ase�bfi �th I n � t� „L�, ..' � :3 '� I
<br /> r�. �e• � �
<br /> �fe� 3�� ' '�` '
<br /> p.� •o o �• +• � e e y re
<br /> ' ' �deter i e he atl ?for k
<br /> 4
<br /> �v.ny'.(}+_a»�.:�:�, sr. IIh,4rs2 } C� r.
<br /> ,�t. �� .ir�h, "und'e tanA�that t il c egaYd ng th��lo i n af� • ' '•
<br /> � La •�, h ��,�
<br /> �4 '-��t�� , �� o a�� t ed �no�v'ib � 9;�:"- , . ' '
<br /> �;x r , • ,� • ;z,,s :
<br /> �, �,;,,, ,��tu,��e,�t�n,, a�l�,rp' �aiqlej)erv .��qt-elnln �y�b��k r_� , s
<br /> . �` ` ; II in goo�'AorkinQprdBr' u�l�ss ilj�s instal:�i;ihe cA�i"�i�y�F�ay4 �
<br /> �;,,� � r�� �� , �'E � � �s�� ►� '.
<br /> i • i� ;f�ge�l my pToperty I w�l�meke poterfhat Auy�rs awd e,oi,the backw te s � ' , �` N
<br /> th�nded to i�spect ar�d maintam il on�'regular basis�; ` �C� , ,, 4.
<br /> y ���yy� r ..a' � r . 4 . � f� . } y.
<br /> �� art �1�. ���� i^++'{�1 �v� J� � �) .�I � �.. i'��"� . i : 7L ':'�' H_ ;
<br /> ' " Q"I arri enCl$osmg�II o�f,tt6y�ey necessary pepenvor�k(use the yellOw Rebete��s i G ebkUt)r � d:
<br /> �r � � ���r �iT' r .�'�4 r ,t �• � .�� \� �� I
<br /> � .:` Select fro�th�following �e � �V t,'` '�„' t�,F ��'��.� , ,' � !
<br /> � ' a:�. (" .,� .� ., , . :, ., .� k � ,...ls � � �
<br /> +r'k,:
<br /> � `The confractor itlent�fi�d dor+n'spoute or othe�,Qrain�ga Ilmes that. �� � to �, ',
<br /> lme(befw�en my hou'd'eie(nd t�e InstaOpd ciehce)and emov�d�or. �rSQ 't q',., � ',
<br /> �� -.- ; <� I ���y,�Y ' .4 �..KiC ::_ ., � : .'�Yti �'��� ,a� , '� ,
<br /> : ��l sTo�t`�ii knoY�lA�lgel My�ropefty ha's no dnwnspou s or o�r dreirlege „n�t 1o'rhi'y a i �
<br /> ' between�tn�haus erid theSinstalled de ice 'i� � i ` � `_'-�
<br /> <s ( Ys'��.. �G1��TM�� ,� ' '�`�r`��`f � .
<br /> �Y,� .;;. . .ti(, � i ��.�." `.`A� 4r C ,• b �F 1. �'.
<br /> � [�j;Thare are� owhspouts oF olherbrain�ge,Ilnes,cohneded to rriy seWer a �y' ou
<br /> i�:W � r L' t • M �f'ri� �.tia. 4'aa
<br /> �and�tife i�all�d dew'c� 51 understaod tHat Ibewng th set�own'Fi ct�on c e e c of'fl
<br /> }C1' n �Yb L � 11.. � '��T � I
<br /> � � ' ��"ayd I acce t�ha�nsk 3k'+ r& � .
<br /> �- - � +rw fi� � y� r i �.r � .tik: '•i
<br /> �_ .� � �.�k'��S"�. � A� y y � � .1_ �i , . '�'�q y � . :/ ' • . i
<br /> . � � ; � � } � {Y„�'�Srr �,y c t`3:. � ,_ ti �S�i:y ��7
<br /> � y� � v �� 1 � ` , � (�t !r � 1 ,�(' f,y{ - �
<br /> i y �� `nl.,[ qi i.� � �:1 �. . � •N �'yqy {.r I
<br /> �. r... � ♦ a
<br /> '��2.Sign`a�'ufe�J,'" ., �'�. r � ...�` -,.i. O t � � •l�.6_ � I
<br /> i- �+» `
<br /> x,.'}`eC+` Y�+�.�� *�S� �.�,�,!,�p. ::Tci�j .��i��c�s'�Y��` ��� -., ' ��.t, i
<br /> +i�� � ��. i '9n rR.;. '�,12�"" i .s ti y . .� �`� ' 'S�P t�
<br /> t' t Y '.S� }� � �'w`C � �„�1 { � � � ' .�.'t i -� , '. � �.�i� �e 3�� r .
<br /> ��. � n �� r a �� .`1. .y � 9 3tk � .�'� ��" ��F..�..bb�
<br /> .5;,�,� c ��....�,w- w ..�...� IY.�J . _ fa �'�`
<br /> , .�i` �Y ,. : � . . , Y � .�. �e ,?'rf 1l } ..; 'T a t���;�� �5_' I
<br /> '�'1 � ` ".�����' .Ay€a \ r�- L- {.
<br /> . . "i "7 . . .�j' .i'+' v;A� �
<br /> . . . - , � .. . .. . . ' . . r . .
<br />
|