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Form No. i+. � / � ��.'] � U <br /> �n.� ',y,,DII n� .... .../...... <br /> __ /,�7— <br /> • \n............../...........f����C ........... 8trcc . <br /> 11�OVN" <br /> F.cercl[..................1........ ............ 190� <br /> 10 THE BUPERINTF,f'DF.ICT OP TIIE F.'�'F.RETT R':\TIiR CO\IP.\\7': <br /> I 6e b�npPl)' for the uar o( e•a[er in nccordxnce with the rules nnd regnlntinns o( t6e Ecorntt Water Compan}•, nnd r uent <br /> thet a,.' ��,,,(nch tap he ins�rted In th m n th re nhor stnted. <br /> � 'C�.PI ber x�ho wlll do m)' u•ork 1 .... ......., 0� � <br /> ..... ........ .................................... �...... <br /> .......... ... <br /> The uRner ot the p:emisrx IF....... .... ............ , / /.� <br /> . . . . . ................... . <br /> .... .... . . .. . .... <br /> ................ ....... <br /> ' The nKem iF............ .f.�... <br /> ...... ........... ...........N...................... ................... ,��. . <br /> ................r �........... <br /> Thc tenant in..... ... .................. ......../.. ... <br /> ............ ..................... ......................... <br /> ........... <br /> The xater rent shonld ir rhxrge�l to....................'. <br /> ..................... ^............ ^ ......... <br /> � /y . <br /> ' SlFned............�j.n.,rTPS.,,�,Zi?;'P./2�i..... " <br /> f8ee O[her 91dc1. �.�.Appllennt/ <br />