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Tenant Maintenance/ Repair Request

Name: Peter R. Olsen 123 Main St., Mill Valley California 94941

PROBLEM/WORK REQUIRED: Kitchen sink pressure adjustment

I give permission to the landlord or its subcontractors to enter my leased premises and make the necessary repairs if I am not present. ________________________________ Peter R. Olsen Tenant's Printed Name: _____________________ The above maintenance/repairs have been performed satisfactorily ________________________________ Peter R. Olsen ________________________________ _________________ Tenant's Printed Name: _____________________

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