HomeMy WebLinkAbout17-18774 : ��� CITY OF ZEPHYRHILLS ��
5335-8TH STREET �
(813)780-0020 18774
BUILDING PERMIT
PERMIT INFORMATION -� LOCATION INFORMATION
Permit Number: 18774 Address: 37419 GILL AVE LOT 180
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0140-00000-1800
Improv. Cost: 5,288.00 OWNER INFORMATION
Date Issued: 8/16/2017 Name: PETERMAN, RICKY& DEBRA �
Total Fees: 65.00 Address: 37419 GILL AVE LOT 180
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/16/2017 Phone:
Work Desc: A/C CHANGEOUT 3.5 TON
CONTRACTOR S APPLICATION FEES
CHRIS' A/C COMPANY A/C CHANGEOUT 65.00
�� ,
C �
2-� �
Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental i
entities such as water management, state agencies or federal agencies. �
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�
CONTRACTOR GNATURE PERMIT OFFI R
PERM EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I
�"''��Q2° City of Z�phyrhiils Permit App(ication Fax 813aao-oo2�
�" Bullding bepartment .
� �
Date Recelved �- �� , Phone�Contaat forPermittln S�. � �''���/� '
4
- I
Owner'a Name 9� Owner Phone Number �/ / �� • �
Qwner's Address Owner Phone Number � � �
Fse Slmple Titleholder Name �— � Owrier Phone Number � � ��
- i
I:
Fee Slmpte Tittaholder_Addres� fi
JOS ADDRESS I I �.OT# �_____� ,
sueQ�vtstaH �� �tx ; _ ��cE�.�� " ` �S� I�l� ��� � t<YC�C? !
(OB7AINED EROM PROPERTYTAX NdTICE) i:
WORK PROPOSEQ �NEW GONSfR� ADE?/ALT �' S{CiN' 'Q Q DEMOLISH :
INSTALL 8 , REPAIR - ,� �' i
pROPO5ED,U5E [� SFR� [] COMM• � OTHER �FQr�?�[� �„', �.,.,�,p�y,�.� J r���' !'
TYPE OF CONSTRUCTION Q� , BLOCK " Q PRAME � �� STEEL [� - ��_� � i
DE8CRIPTtON OF WORK .,.- �,�771Q-r",7 j� `
6
auic.o�r��s�z� sa�oora����: - ,x���H�r����.� .
QBUILDING �� VALUATION OF`'1'tOTAL CONS'F'RllCTION '
�
QELECTRICAL �� AMP SERYICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING �s=� - �
�MECFiAPIICAL $� S,j VALUATION OF.MECHANICAL INSTAI,IATION �
�_S1_�L..._.�.J�. - 4
C]c�►s Q ROQFING �] SPECIAL'iY �� OTHER !
FIt+i1SNED F�00R ELEVATtflNS �..�� FLOOD zONE AREA QYES. NO ;
i
9UILDER � COMPAMY , �
- �i��'�l2F - - - - - - R��tSt��a - ——Y! td-�- -���CURa�n __ Y 1� _ - - -
Addre�s � - _ �
k:icenss#'� �
,
-- , . ',
B4ECTRICIAN � COMPANY ' �
SIGNATURE � REGlSTERED Y 1 N FEE CUitRERv' • h'°Y/N �
Addr+�ss . , �.Ecense# �^ � � ;
PIUMBER ` � COMP.,ANIf �
SiGNATURE' - - r .tt��ta�a, - Y.t:N., :,, ,.,FEE�cu�t� Y i N�. � ,
Addreas Ucense,# �� �
MECHANICAI:' COMPANY, � � 1..-- .
SIt3NATUttE. � - ' R�cist�R� ,� N . �cuR�. :N
Addre�s' l � ,Lfcens.e# ��-j��c�t:l.-� T�� -
pTHER . � � �,COIRAPANY � �, •
BtGNAtURE' �: : . , •" . . ` ` R���siE�o �- Y i'N :, '" �f��Cti�RE�: Y 1 N.
Address/ ,.t~ � , . � � '� � liceiise#'�� � �
M. M., h....,. , ti�y,�< s: ��,,��,,:.:, , ,_.
RESIDENTIAL;s ,:Attacfi"(2),;Pl'o't'.Plans;:(2)sefs;of:Building'iFl��s;'(1)'set of�Energy�Farms;R=Q=W'Per'mif fc.r new construcdon,
�..:,t:,.�lVttnimumGten;(:�,4)�warking;days�atker"'sutiinitt�il date.r;Requiied ansite,;-Gon§tnictton�Plans;Stormuv�ifet Ptans�w!SIIt�Fence installed,
r Sanitery Facl�iyes.&s�1;,dumpstery;8ite`�M1►orlc;Permit;#or.:suticltyisionsAaige�pmjects�;.,,�;':..�•-
COMMEEtCld4l. Atmch(3)•cai'reiplete sets{`of'Bulldfng'Plans'plus a Cife`S'afety Page;�(1a set af Energy Forms.R-O-W Permit for new construction.
tut(ntmum tett(10)worfcing days after submlttat date. Requlred onslte,ConsttucNan Plans,Stormwater P1ans wl Silt Fence lnsffitled,
Sanitery FaGlt�es&1 dumpster.31te Work Permit for all new.projects.All commerclal requi[emenks.must meet compllance -
51GN PERMIT Attaciti'(2)sets of Eilglneer.e.d�Plans; _ - `��-� . � `
""PROPER'fY SURVEY regulrad for all ME1N construc�on.,
.4..
Dlrectlons: .., - � . '
Ffll out apptica�or�comptetety.
Owner 8 Cantrector slgn baak of appllcatlon,notarized �
If over�2500R a Nctice of Commencament la requlred. (A!C upgradss cver ST500)
,.'.'4:r'�`-fu:;,t-y�`
'* Agent(for tiie contraotot}'or Pawer of Attoriiey(for ttie owner)woutd be someone wtth natarized letter finm awner authorizing same
OVER THE COUNTER}PERM17T1NG --- •(Front of•Appllca8an-Only)•- - •
i2eroafs If shingles Sewers Service Upgrades AlC FenCes{Piof/SurveylFootage)
Drlveways-Not over Counter If on pubtic roadways..�eeds ROW s•.� - - - -- -��,:__ _ : _, ., _ .-
. _-_.. ...r,ry. ,.. ...i,.a.t s,.. .._.,.n...... .. _...�.. _ , .:ra,�,`1�_, ,
�: f�".�.,�i�i� .. . . .,'r_" _���. �� � ... .:./� � � . '. �.
� . . . . , ,� . -_ v.i . .,.,. � .�`r i{f., _ " . . J
�'� _y. " �. , .. � .,. �..'� �. ' �:y...�t...... a, i K-_. < .„a..s...�. ,' ` ., i����
_ ���:
�4f.
. j
Nt�YiG�OP DEED RE�TR#CT���4S: Tt►e und�rslgned c��d�rs�tands=th�t;lhi�,�p�rtnit�mayrb;�.subject,to,"�,eed"r�,strfctioiis". �_-. ,.� ..
whtch may=,b�.m�re����st�lii�ive=4ti��Gouhty�regtilatton�:� 'Che�undersigne�!`��sui�es resp�nslbiilty°for'"c�inplfain�e witli"�iny . `
applic�ahle desd res4rDctfons. ��. :. , �, • '
UNLICEN��D �CORt'T'RACT06tS �ANp CONTRACTOl2 RESPONSIB��ITqES: tf�t�e owmer hasr�hir�d �ay�i��tractor or
contractars to undertake work, they may�be�:r�q�riced Wto:�►��licensed i�,acc�rdance.wi#h stat�.and•iocal.:regulations..°°Ifxthe����` �-
cantractor is n¢�#�ii+�ensed=as��required`6y iaw, both�the �er��i�d�cmntracS��-�iiiay be„clted�fior°�a misdeme�n�r vtoiatton
under state law, If th� awrier or tntended:.;con�ra�tor�a�a.,uncertain �s to v�h�t ficenslr�g,-requlre�nent�;mey�:apply.:for�-tlie:-, ,
In#ended work,they are ac!"vlsed to cc�ntact fhe:�Pasco County�uiltlln�:7nspectlon Dtvlslor�--L(censing Sectton at 727'-847-
8009. Furthermore, If the owner fias'hlred� a _canUectior v� contraato�� he ts �dvised to h�ve �the contractar(s),sl�n ,.
�,�r... ,.
poriion� af the °contnactc�r �lock" of fhls�applicati�n..fa.r_.which.they,witt.be:�.r�sponalbie.•.,-tf;�you;=as.:#he ownef"'�i'gn��as`ti�e`�
�ontract�r, that�may be an lndioatlon that'Fie�is not properfy ticensed antl`�� r�i�t erititled to perrrff#i�� pri�il+�ge�in Pasca -..
Ca�unty. �..
°T�.ANSPORTA�'lOfoI:IMPACYNTILITlES'�IMPAC't�AP1i9�l�ESt�4DRC�RECOIIERY�����: Th�a under�Ogi�ed�i�d�rst�nds
thatYrenspor4ation Impact�ees�and.Reco.ur�e.RecovePy.Fees� m�y:�►pplyv#c�t�+e:,construetion of new.buildings,�change��of`'� '°�' '
use in exisNng buildings, or;exp�r�si�rr�ofsexlsti�;g�buildings, as specfifled.in Pasco County Or'dlnance number 89-07 and
90-�7, �s amended:M:Th� under�igned atso�understands, th�t:•�uch#ee�;=.�is�may:�e��dus;;.wiil�sbe idenf�ied at the��time�-of` �� �
per�nft�ing. �t is turtfier underst�od tha#Tra�s�'ortation Imp�ct F��s and��Resour.ce.;Rer.�uery�Fees�.must be p�id pclar#o
rec�Eving-s.'cerElflc�Ee.of�ccup�ncy" er flnal�pow�r.:.�eta�se: :4f tho.proJ�ctt.does�riot Ir�volv+a<a:cert�tc�te af occupancy�or':�-:,:-,.`
fln�l power r�le�se;.the;fees mu�t 6e"p$td:prio�to._p�cnnit l�suance. Fr��t�i�rmor+�,�I�PascQ,Counly jW�teelSauv�r=,lmpaGt - �
fees are due�..they;,anc�st:be-pald�pilor to.perrt�ft�:ls���nce;�n�ccordance vulth�appitcabl�P�sc�'-��ounty�ordln�nces» •
C�iV3TRUCT9Qid LO�i'�%il:��V�c�iie�t�r��3� �'acHd�3t�tut�s, as anne�d�d): I#valuatlon of wrork is$2,500.q0�or more, i� �
ce�tify #hat t, #he. appilcent;-h�va.been .provlded with�a-copy�o#��the `Florida- Constnic#ion� Lien._Law—Homeowner's
Protectto� Guide" prep�rsd by�lie Fioi�da Department�of Agrlcuit�re artd Gonsumer,Affairs. If the applfcant i� s�meot�e
ather#han the"owner", !�e�ti�c.th�t L�t�ve,obtalned=�i=i�PY:oT:#he:aba�e.�d��c�l�ed�docur��nt�and:pmmise;.ln,goad:fa4th,#o ,
deliv�r it to.the."owner�-�prior�to�cornmencements'` �
CAN'9'R�►C�'OR"S1�WN�R'S AFFIDAViT: 1.c�e'rti�jr:�.tli�t-al➢,�hexlnf�rrnetl!dn In�tMl� appllcatic�n is accurate.and that a0 wc�rk
wilo'be d�r�e in complisnce witF� �il.appitcabte taws r�gutatl�g conatructton, zoning a�nd�.�land developme�nt� �pplicatlon Is
hereby made to abt�ln .a pecmi#,=to .do.-wairicb,and�.ih�fallation $s indi�e#ed:-- :I ce�tifjr th�t n� woric=:or tnst�llation has
comm�nced p�l+�r t� Issuance of'a p+�rmlt`an� tha#�.all work wNl be perf�rmed�fo meet standaa�ds��# a!1 law� �egt�tsting.
const�uctlon, Caunty and City codes, zoning r�agulatiQns, and land development regalatlons tn the Jurisdiotfon: 1 af'so
certlfy that I u�derstacid that the regulatians of other gov�rnm�nt���ncf�s may�apply�to the intgnd�d worlc, a�d that it#s
my responsibiii�r to Identify�what�ctions I must�tak�:ta b��in..ccmpllar�ce:_Such:ag�n�le�ir�clud�bufi�are.r�at Ilmited to:
- �epartment af Er�vironmentai�°Protection=Cypr�as.'Bayh`�ads, VlieNend Areas and Environmentaily Sensttive
l.ands,W�terlVYastewa�er Treatment. �
- Southwest Florida Water Management :C?is4cict We!!s, Cypr�s�.'�Bay�teads;- VYetiand Area�, Alt�rin�
Wa�ercour�ses. ,
- Arnny Corps of Englneers�Seauvall�, Dacks, idavlgable Wat�er�ays,
- Depa�ment of.Me�lth..&. Rehabiiitative�Services/�nvironmer�tal Health Unit V4fell.s��W�atewater=Traatment,
Sept1�Tanks: � .
- US Environmea�t�a1 Protectlon Agency Asbestczs�b�t�ment. -
Fed�arai Avlatton:Aulhor(l�r,.-R�nway�.
i understand tirat th�followang.-resdrl�tions apply'to the use o�'flll:�
- Use mf flll is nat aliowed in Flaod;�one"V"unless expressly p�rcnitted.
- If #he �fli materiai 1� to b.e usetl„�tit :Fioad �one. "A�, it. is underst�ad #ha# a dr�iroage p0�n addres�(ng a
°compee�sating vol�o�r�e"wiii be s�br�ltted at tiane a�f-perr��ttf�g wliEch is prep�red by a profession�t engineer
lice�tsed by#he�tat��f�flotlda. - .
- If th� flll materlal�is to be�u�.ed [n Flood �one "A" im cann�o�lora�wlth�a permltted buflding using stem wafE
� constn��Qion, 0 ce�i�y th,�f fill:wJll:b.e•used only.to.,fill the�r�a withln�the�stem�nr�ll. ,
- If fi11 materlai Is fo be used in any are�, 1 ce�tlPyr that .u�e of such flll will not adv�rsely a�ffe�t ad�acent
properties. If sase of fii! is found�tv adver��ly:.affect adja��r�t��praperties,.the owner may be citad for vio�ating
the ca�dt�o�s...of�the btiitd�ng:permlt issued under 4he aEEacFi�d.�atmit �pplicatlan, for.tafs ies� than one (1}
acre whlch are el+avated�by�Il,�a�englneered dcffilnage pla�Is e�qutr�d.
!f i am the AGEIVT.�OR TH�OWNER, IRpcomCs�In gaqd faith#o lnform the o�nrner of�the perrriitting condttions set f�rth!n
this �ffidavit�prior Qc� commerscing carssf�ucQlon. '6 und�ars#ar�d thet a;�epareke�pernnit may be requlred for�lactrica! work,
pfumbing, signs, w�t�s,.ppols;. �ir conditioning,-.gas,, or ot��'r. install�`ttor�s no1,spec�i�ally inciuded�ira.the applicatimn. .A
pe�mlt issued sha!! be co�tsfiaed to b��'a�f is�nse�to'pi�ceed wlth tlie wtark and r�ot��s:suthority:to.vtal��e,can�e�, �Iter, or
set aside eny prc�v9stons of ttte tech�lc�!-cad�sp�nor shall Issuanc��of a.permtt.pc�ven#the�ultdlrig�#ficl�!fror�thereafter �
requ(r(ng a corr�ction cnf erco��in��plans;-constructlon.or vialatlons ofiany cod��. �ve•ry•�perm4t�-lssued sliall�beca�me invalld
uniess the wark authorized.byr such permlt>�ts.c�Er�mencet�•within s�Gs.months of pennit Issuance, oP If wrork authorized by
th�permit ds s�sp�nd�ci or:abaradonedryf,oc a;period�af�si�r;��)mot>th�.aft�r the-time the�work�ts caraim�nced. �extensio�
may b� requ�sted, ��uvritirig,:_#�om tfie:Bui�ding,t3�ictal for� �rlod.not.to exc�ed.nitietyr-�(g0)�d�ys �nd wili demonstrate
�usti�able causs for•!he extensio�. !f work ceases.for nlnety.(90)cans.ecutOve�daysr..ttte j�b�ts.conside�ed�bac�doned.
I WilA1tMANG TO CIWNER: YdUR..:�141LURE TO.,:itEC:QRU.A,MaTIGE,O��•COMMENC�MEI�T�MAY�°RESUlV•IN�Y+QUR
PJeIYiNG TWiCE;:�Oi�IMPROVEI�I�NTS�.T��:YAUR::P.,�PERYY:°�IF°YOU{i�d'�EWChTQ���Ct�TA1N�F1idiARi�tt�G�.yCCpNSULT
� _ " A �'� �R�� '�'�- Q��� �'i � _ � - -
Fl.OR10AJURAfi:(F.S:11Z.43? .. _ . � ..
OWN�RORAtiEN3'_��,2vc�.r�;"�'irLls..�• " C�tai1'�Q:P't9 * ��-,• .
�3ub ctibed and swom M{or�fflrmed�before Is Subectib tui's�rom to ot'a!fl ed)'b�to e'thl�
�n/,/� �y n�� _�bY. (l �
Vtf�o lstare personally krtown ta.ma t:hasfiave produced UVha.ietare personaity knawmto.me•ar tiae/hsve�produced �
�e ia��an�eon, as lderttl�c�flon.
y �� ,- �����`-� �NOtery PubiiC . �-�° �/���- Motary PUb11C
Cpm isslon No:�„ � (����l ,_,_,� Camritlesian.Mo.__�:L'�'r .��=,<-��-�
���� E 1.-l�l�✓� �¢��� ___���� �l�./�tr(� �l.t��.''�y--��
N�me oi N�ota� Hn e Name of Notary typed,printed or stamped
;�`�"r;;'►,',u"e'•,,, DEBRA ELAINE RUFFELL ����� �""�'""�"�"
::����h:Commission#GG 0453Q3 ' ,r,t�"::U�;,,DEBRA ELAINE F2UFFEf.L
,.a;Expires November 7,242Q' .,:����;,,;Commission#GG 0450 3
�%�oFF��P�` 9ondedThfuTroyFainlnsurance800�385�i019 '%+t"y"¢_��qc�:pC�%y^UP..SIVqV`,B.�fIlb6f.T;22Qp�.qq;,��y�y
� ���H�` :S7,tta,._g. ,,`'4iiii+1��, W�:�s{i�i�,}.��.'T�'�'SIY111�B��RV�(fT4,5�+T,,';
,_y,aw�r .,� '
. is ,
t � (1/�
d O
�
r �
..� � � �' I
� �� ��5 �� :
�� . ' •s HVAC �/R r' `�
�-----� C O M P A N Y �'�` ,,� Y
C�►G058675 /EC13007703 P RO P O SAL ,��
12232 F111VY 301 DADE CITI( (352�521�i977 "NOW PROVIDING"
DADE CITY, FL 33525 ZEPHYRt11LLS(�13)779-9515 "ELECTRICAL SERVICES"
NAME: Ric �Peterman = �,� Date: 07/28/17 SPLIT SYSTEM ### PKG UNIT #N/A
SUBDIVISION: HEATPUMP #f�# STR.COOL #N/A !
ADDRESS: 37419 Gili Ave "�'� `�"`� i���"�� " � ' :�"�'`��`�`F�
.z., w.�_ ;� � �<L�;- :
x��:�n:•����`:��"�;�-�=�_ �. _r.� .����--;��,�•,. �.';�'sj
CITY: Ze h �hIIIS FI ZIP CODE: 33541 CONDENSER: �
PHONE: 813-766-0470 WORK: IR HANDLER: #N/A
CELL: • - RENTER: HEATER: #N/A
ESTIMATOR: K2�Y1@fOfl BRAND: #M/A
s£'--,��, ,�n" +,Xc•�;:ti,u ,■^t�_ � ` ' '- :d;ai`_,��:r..- -7,w^ •..r:;a 1r��l1
;;€>9s,;;``Ma::,:,`* t .:� � :�r �:£.:.,<"3:�:.s�'�""� �;:: EER RATING•
�zz:'.,���,V�������'�.:���� .���:r;�,;>�, �-""�'
a,-::JL+':,ti=>;; d .:C. :f,�.-"-..'ic:�i:.>�u'..w-.:e '
FIRST MAINTENANCE CHECK FREE {NSTANT R ATE: #N/A
ULTRA MAX EZ 24 VOLT W LIGHT T T ' #N/A
T6 PRO THERMOSTAT/PROGRAMMABLE TON E: • #N/A PARTS: #N/A
PAD COM SSOR: #N/A LABOR: #
- .x-:;u:�..ac, �- � _ - r:�,;�; s:T
SEAL DUCTWORK TO CODE '�;t.- ����- ��j� `� �W:;�wa;°2�;��,.;-:�.:
��,w.�
i REMOVE EXISTING EQUIPMENT CONDENSER: �
SU&PANEL IR HANDLER: IA
$200 SENIOR DISCOUNT HEa-rER:- N/A
CONNECTED TO EXISTINCa DUCTS AND ELECTRIC BRAND: #N/A
ANCHOR CONDENSER EER RATING: #�I/A
TAXAND LABOR 8�PERMIT INSTANT RE TE : #N/A
T TA : #t��A
ONNA : .
connP R: #N/A u►BOR: #N/A
7����-�,t,�;�x..-s:v,�,yr;�::��� ` `a, �"s'� ;.�s.`,^z.:r���'�s?�'?=�"
��''_r'��^.��w ..�.y,.r,+ 6>x; ��a. -r�_,'i'_rg,x�i'i`.�Y s'��;�
CONDENSER: 4WCG4O4ZA�
IR HANDLER: O
� H�reR: BAYHTRV105
BRaN�: AMERICAN STANDARD '
EER RATING: �4 = G�2$$.'I O
.:F;r" yn,.��;;` ' �''"q� ;%�ti "-r'.�,..- '��.:i?.(:H i;"J',,y� ;3:��s.�:+ ,�:c:rt:'#o'n,��.y,t- ..., �,z:'�q
.:;r. .��.�,, w�s',:�;;{�d:-,c?;::'��.�^, :.f`s�' � _�::; '�e _ ��;�y x;,,� " iE:��:;_;��'.�,-s,'
:s�.� ,��,�,r.. �;�.:,.r�,.� :�`�� ;�.� ���..- .=� ��,��; �-�:,:� F� INSTANT REBATE 950.00
:� �;..,�a�,x�.�..,�e :�:�::;x ra> �.��=z�=�:�, �.,:,��t�;::��'���r;,. _,�r,�,�:`.`,,.;,=�,-� :�,�.�
I HAVE THE AVTHORITY TO ORDER THE WORK OUTLINED ABOVE. I AGREE THAT SELLER� . T TAL . S�Z�v.1 O
RETAINS TITLE TO EQUIPMENT AND MATERIALS UNTIL FINAL PAYMENT IS MADE.IF PAYMENT ONI�IAGE: 3,5 PARTS: 10 YR
IS NOT MADE AS AGREED,SELLER CAN REMOVE SAID EQUIPMENT AND MATERIAI.S AT �• OMPRESSOR: �O YR �►aoR: #N/A
�
SELLERS EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE
' E RESPONSIBILITY OF SELLER. LIMIT W 'EQUIPMENT,PARTS AND
MATERIAL HAS 'I7EN MANUFACTU R'S W TY ONLY "�"a' `�2"C:_. ry ,.,_,_�.� „ „�-:°-c^^- . a"',;.. "+`� �„���,��". '
K., w_ .. jl '�,,�,�� ^�•,�s;,�
.�;���'n" . . , �q,C,• 3' ' ..,; . e�.+>.k;;.
"b;i:7:».�^i;4.. !:'�: . ��r`0��� ` -.-.5� �25: �..'��,�i,i"�,d
� ^ ..��"s�=e cA�a�. N_..�1.':Y.6�:..,�f,._'....._;
-;�ttr' r:^C�.K'�. �hx"3' _ _
', � � ` �� =ao��o��o�'� �:=.s�'�� �wac�
-.;������t���,. ��'-�:�;�.�
� �, ���;��,�-;�,�_°;�;;:
���::�4
A�. ��;M �,f :�� _.
'=�� ���>��:.�,i_s�';.�'�,:.:�
CUSTOMER SI TURE DATE: �.`aLC�S`�;AC�1T�,�i4�:Exw�`-��
. . �