HomeMy WebLinkAbout93-3349
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N~ 3349
DatEl 7 -~ - 7>3
~ ICU ,.,eM 1!l...._,J8 - ~,,~,"";:-
::::::,~:~"' tf~ Ur ~/J ~5c ,
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning:
Description of Work
/;7: Code:
S, e~s' e "" .-
Radon Gas: /1 -:i:. ~t-
~ b )d-I t..., ,/;;,y L/ I //;j /Tr;) a1 ..
I
NO OCCUPANCY BEFORE C.O.
FINAL .l....z.-~ - C1 3
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Pe,m;' Fee 5-j~
Signature ,/' ~ ~ 12-
Company \
Address
Telephonell
Valuation or J"""'-:; ~
Contract Price I( ~ .) O. ;;:.--
City License Registration II 11
State Certified Licensell
rA5'
~
F I g;;=fR'1'CAL
~
~II\lG-
~AL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
7 -7~13 f3,.B
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
,\!'PLICATION FOR PER!'lIT
,.l TY OF ZEPBYRlIl.LLS
I\IILDING DEPARTt'IENT
APPLICANT --:::>v-l..:J 5"'.a~ D~
ADDRESS ?:t,S 2f-.. ~ """R.t~ ~J.- ~kP~~~ \\ ~ PHONE 7fS'~3 - f5jC)-S"
m\NER ~<Z.5~L. ~L.IC-)(~^ _
JOR LOCATION ~~C):/~ ~~
LEGAL DESCRIPTION: LOT(S)
BLOCK
LOT SIZE~X I(J::) AREA SQ.FT.
SUBDIVISION lJ.:>1~~~ t'Y\ ~ ~
~..
PARCEL I. n . l'
WORK PROPOSED:_New Construction -x'Addition _Alteration _Re.pair _InsLl' 1
_Sign/Temp.
PROPOSED USE: 2s;LSingle Family
_Sign
_l'lo\.e
_Demo I ! ..,h
_M/F
_iF of Uni ts
_N/B
_Commercial
_Indust.
__Swim. Pool
Othel
_Restaurant & Il":llth Department Approval
I\UILDING SIZE:
I I
xfL. .
Square Fee t..
1.32 41
lie 1 ht
RESIDENTIAL:
CO!'lNERCIAL :
ATTACH (2) PLOT PL.\~S & (2) SETS OF BUILDING PLANS & (1) SET ESERGY FOR~~.**
ATTACH (3) SETS m l.lUDING PLANS & (1) SET ENERGY FORNS."'*
**COPY OF CONTRACT REQUIRED.
_BUILDING
$
I'ERHITS REOUESTED
~
11 (&)1) -.0 Valuation of Total Const.ruction
_ELECTRICAL
ANI' Service
_.__..Florida Power Corp.
_h".R.E.C.
'f"
_~IECHANICAL
$
Valuation of Mechanical lnstallation
_PLl'MBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
*********d********************************
Signature
<lIP ~Qc
CONTRACTOR SECTION ~
Company J W ~
State Cert. or Regist. ~
City License Registration "
/k.t) ~ I(
7,7
BUILDER
*********~***********~********************
EIFCTRTCIAN
Company
State Cert. or Regist. U
City License Registration ~
******************************************
Siznature
Company
State Cert. or Regist. c
City License Registration :i
PLL'!'tHfR
Signature
********~~**********.'~;********************
Company
State Cert. or Regist. ~
Ci.ty License Regist.ration ..
HECHANICAL
Signature
*******:;*::********************************
Com;Jany
Sta~2 Cert. or RcgisL. c
City License Registration y
OTHER
Signature
*******~~~********************************
APPLICATION APPROVED BY
PER~IIT OFFICER.
JI16nd A~'dI0N
(padw~lS ~o palu1~d 'padAI aW~N)
JI16nd A>.:ItfI0N
(padwe~s JO pa~U~Jd 'padAI aW~N)
(a_I.I1~EU5 ~S)
(a_1I1~Eu5~S)
"4lEO U~ a~~~
lOU P1P/P~P 04M pue uo,~e~'j~~uap~ SE
pa~l1pIJ_ld
31:>4 134M JO aw o~ UMoJWj At tI?uIJs_lad 5' 04''1
"4~1?0 UE a;ll?~
lIJU P1P/P'P 134M PUE uIJ~~e~'j~luap, 51?
pa~l1p'JJd
SE4 04M JO aw Ol UMOU~ AtteuIJsJad s~ 134M
Aq -61 '
p'3bpa l''''Jwj:J'"' set"
5 ~ 4l aw a_lOjaq
luawnJlsu~ bUlObaJOj a4I
.:l0 AlMOOJ
~aIM01.:l .:l0 31UlS
Aq -61 '
pa6patMou~j:J~ SEM
Sl4~ aw a_I'Jjaq
luawl1~lsul 6ul06a~oj a4I
.:l0 AlMOOJ
~aIM01.:l .:l0 31~lS
MOIJ~MINOJ :3MOIUNSIS
IH39U MO M3NRO :3MOIUKSIS
'.lH3W3JH3WW03 .:i0 33110N. ~ lS0d aN~ OMOJ3M 01 033N ION 00 301~^ HI OO~'a$ M30NO S80r .lH3W3JH3WW03
.:i0 3JII0N MOO A 9NIOMOJ3M 300.:i38 ^3NHOll~ N~ HO H30N31 MOOA HIIK 110SNOJ '9NIJN~NI.:l MIUlaO 01 ON31NI nOA.:lI 'AIH3dOHd
HnOA 01 SlN3W3^OHdWI HO.:l 331ftl 9NIAVd HnOA NI 11nS3H A~W IN3W3JN3WWOJ .:l0 3JII0N ~ OHOJ3H 01 3HnlI~.:l MnOA :H3"RO 01 SNINH~ft
'pauopueqe paJaplsuoJ aq Ill" lJafoJd aql JO 'po~Jad qluol xls qJ!a 6u~Jnp pa660( aq lsnl UO!lJadsu~ paAoJdde
uij 'le!J1JJO 6ulPllna a41 01 6Ul1!JM ul palSanbaJ aq l(!qs uo~sualxa a41 .OO.~l$ JO a6J!qJ aaJ q1~M lllJad aql JOJ paMoI(e
aq Ael 'a'lt JO u01sua1xa Aep 06 auo 'paJuamloJ S! ~JOM a41 a11l a41 JalJ! sqluol x~s JO p01Jad ! JOJ pauopueqe JO papuadsns
51 11lJad aql Aq pazlJoqlne ~JOM J1 JO 'aJuenss! JO s41u01 X!S U!ql1" paJua.IOJ S! 11lJad qJns Aq pazlJ041ne ~JOM i41 ssa(un
P1(eAu1 aloJaq lleqs panss! 11lJad AJaA3 -'apoJ AU! JO SUO!l!(OlA JO 'UOllJnJ1SUOJ 'SU!ld ul SJOJJa JO uOllJaJJoJ ! 6u~JlnbaJ
Ji1JeiJiq1 10Jj le~J~jjO 6u!Pl~na a41 1UaAiJd l!IJid ! jO aJu!nss! II!qs JOU 'sapoJ I!J!U4Jal a41 jO SUO!s!AOJd Au! ap!se las
JO 'Jil1e liJUeJ 'a1e[01A 01 A1!Joqlne se 10U pue ~JOM a41 ql~M paaJoJd 01 asuaJ~( e aq 01 panJlsuoJ aq I(eqs panss! 11lJad U
'aJu!nsSl 11lJad 01 JOlJd !P!J01.:l
jO ale1S a41 ul paJa1S~6aJ Jaau~6ua (!U01SSijoJd ! AG paJedaJd sl qJ~qM Pill!lqns aq II!M .alnloA 6u~leSuadloJ. e 6ulSSaJppe
ueld a6eu~eJp e 1e41 pOolsJapun 51 1~ '.'Jla'~. JO .V. auoz pOOI.:l U! pasn aq 01 s~ lelJalel (IlJ J~ 'l!ql AJ!lJaJ os(e I
lualaleqe sOlsaqsV - AJUabv UO~lJaloJd (elualuoJlAU3 ~ t
s~ue! J!ldaS 'lUalleaJ! JaleMa1seK 's[(a" - 11un ql(eaH (elualuoJ!AU3 'saJ~AJas aAllellllqeqaH 1 qlIeaH jO luallJedao t
sAeMJaleR aIqe6lAeN 'S~JOO 'slteMeas - SJaau1bU3 jO SdJO] AIJV t
sasJnoJJa1!H 6u~Jaltij 'seaJij puel1aR 'Spea4A!8 ssaJdAJ 'SitaR - lJlJ1SlO lualabeu!w JaleR !PlJOI.:l lsaM41nos t
lualleaJl Jal!Malsen/Jal!"
'SPU!l aA~l~suas ^([elualuoJ1AU3 pue s!aJV pU!llan 'sp!a4A!8 ssaJdAJ - uOllelnbaH l!lualUoJlAU3 JO luallJedaa t
:01 pa111~1 10U aJe lnq apnlJu~ sa1Jua6e 4JnS 'aJU~~ldloJ u~ aq 01 a~el lsnl I SUO~lJ! l!qM AJ!luap~ 01 ^l~l~q~suodsaJ AI
s~ 1~ 1e41 pue '~JOM papua1ul a41 01 ^Idde Ael 5a~Jua6! lelUalUJaA06 Jaqlo JO SUO~1!ln6aJ aql 1e41 PU!15Japun I le41 ^j11JaJ
oSle I 'U011J!PS!Jnf a41 ul suo~leln6aJ lualdoIaAap PU!I pue 'SUO~1!ln6aJ 6u~uoz 'sapoJ Al~J 'u011JnJ1SUOJ 6u~1!ln6aJ
sMeI lie jO spJepue1s laal 01 pilJoJJad aq (I~M ~JOM lIe le41 PU! l~IJad ! jO aJuenss! 01 JO~Jd paJualloJ seq uO~le(Ielsu~
JO ~JOM ou 1e41 ^J~lJaJ I .paleJlpu! se UO~l!ttelsu~ pue ~JOM op 01 l~IJad e u~elqo 01 apel AqaJa4 sl UO~leJ~lddv
'lualdolaAap puel pue '6u~uoz 'UO~lJnJ1SUOJ 6u!1!In6aJ sMel aIqeJ~ldde
lIe 41~" aJUelIdloJ u~ auop aq 111M ~JOM l(e 1!41 pue a1eJnJJ! s~ UO~l~J~ldde S!~l u~ uO~leIJoJu~ aql II! 1e41 Aj~lJaJ I
~I^~QI~~~ S.~3NMO/S,~O~~V~~NO~ "3
I
'lualaJuallOJ 01 JO~Jd .JaUMo.
a41 all! JaA!lap 01 41!ej pOOD ul as~'oJd pue lualnJop paq!JJsap aAoq! aql JO AdoJ ! paU!elqo aA!q I 1!41 Aj~lJaJ I '.JaUMo.
a41 U!41 Jaqlo auoalOS 5~ lU!Jl[dde a41 J[ .sJ~eJJV JalnsuoJ pue aJnl1nJ~J6v 10 lUallJ!daa eplJo(.:l a41 ^q paJedaJd .ap1ns
u011Ja10Jd S,JaUMOaloH - Mel uall uOl1JnJ1SuoJ 5,ep~Jol.:l. JO AdoJ ! 41~M pap~AoJd uaaq aA!4 'lU!J~ldde a41 'I leql AJ~lJaJ I
(a3aN3W~ SV 'S3~n~V~S VaI~Oi~ 'ElL ~3~d~H~) M~i N3Ii NOI~~n~~SNO~ "0
~33~ NOI~~3NNO~ ^~IiI~n aN~ S33~ ~~~dWI NOI~~~~OdSN~~~ "~
'Sll~qJAqdaz JO Al1J
a41 u~ sa6al~A!Jd 6Ul11~IJad 01 pal1~lua 10U s~ pue pasuaJ~1 ^IJadoJd 10U sl a4 le41 UO!l!J!PU~ ue aq Ael 1e41 J01JeJluoJ se
UO!S 01 noA sa4S~M JOlJeJ1UOJ a41 JI 'lJOM a41 JOj alq~suodsaJ aJe 'J01J'J1UOJ a41 ueql Jaq1eJ 'noA 1e41 6u!leJ1PU! aJe noA
'J01JeJ1UQJ i4\ se U01S JaUMG a41 s! 'noA JI .alq~suodsaJ aq (I!M Aa41 qJ!4M JO} UO!leJ!Idde S!41 Jo .sUO!lJaS J01JeJluoJ.
a41 JO SUOllJod u6~s (S)J01JeJ1UOJ a41 aAeq 01 paS~Ap! s~ a4 'SJ01JeJ1UOJ JO J01J!J1UOJ e paJlq s~4 JaUMO a41 J~ 'aJoIJaqlJn.:l
.1199-B81.
IEIB) 'lUillJ!dao 6u~Pl!n8 S1114J^4daZ JO ^l~J a41 lJeluoJ 01 pas!^p! aJe Aaql '~JOM papualu~ a41 JOJ Aldde A!I 51ualaJ~nbaJ
&u~SuaJ~[ 1e4M 01 51 U~elJaJun aJe J01J!J1UOJ papualu~ JO JaUMO i41 11 'Mil al!ls JipUn UOll!IO~A JOUealap5~' ! JOj pal~J
aq Ae. J01J!J1UOJ pue JaUMQ a41 410q 'M~l Aq paJ~nbaJ se pasuaJlI 10U s~ J01J!J1UOJ i41 JI 'SUO!1!ln6aJ I!JOT pur a1els
411M alUepJOJJe U~ pasuaJ~1 aq 01 paJ~nbaJ aq A,; Aa41 '~JOM a~elJapun 01 sJolJeJluoJ JO J01JeJluoJ ! paJ!q seq JiUMO aq1 JI
S3Il.IiI8ISNOdS3~ ~O~~V~iNO~ aN~ S~Oi~~~~NO~ Q3SN3~IiNn "8
'SUO!lJ!J1sa1 paap aIqeJ!ldde Aue 41!M aJUe!ldloJ JOJ ^l!l!q!suodsaJ salnsse pau6!sJapun a41 .sUO!le[nOaJ
AllJ ue41 aA!lJ!JlsaJ aJO' aq Ael qJ!4M .sUOllJ!J1saJ paap. 01 lJafqns aq Ael l~IJad S!41 le41 spuelsJapun PiUO!SJapun a41
SNOIi~I~iS3~ 0330 ~O 3~ILON .~
iI^~OI~~~ iIW~3d ~O SNOIiION08
/]
. r>
gi
\[l
J
J
OJ
31
f)
I /
~I
!
I/) !
;-J !
8
/J
-"') I
LJ
~
B
~) I I
9 I!
(~ I I
~11
Q.. I,
J I
-#
~
o
6
1 VI
x ,'2
\6 (i
::dJ
C[
I
I
i
,
I i
I
_ .'n _LL.
~
.5
~.
If
J
I,n
4.J ,I
V)~
~ ~.
, I
I I
I I
q ~~:
x .:
rl I I
--- .--
--_._~.---
-_._-~,-- -".
._"L._
\~~~
:t:
h~
\~ .3 ,~
.0 '(4
'-~
~ ~ '?;--
'-> ,,~ $.
\J r~ ,~
',-': ~
. I
, ,
. I
, I
---il g 0
: I 3 L-
, I S ({)
:l' Q ~
.f,' ~ IJ (J
i i /) ~
: i " '<J
, j U ) \[)
a r ,(il
I I
i '
/)
01
tl
\V
~) !
; t
,
, ,
, I
I
, I
i I
I ,
: I
! I
'-
Ll .
~ Ii
B I,
q II
(~, I:
cJ I
'cf. ,
Q.- I
J i
)
J
OJ
31
n
I -:J ,
~
/]1
~I
-=>1
--Y-
-
~
6
'1- VI
x .1
\6 r-
dJ
C[
~
5
vj
~ I~
Lv ,I
Ifl~
f\
\T /1) ,
x i
~ ~ i
'-- 0 , ~
,
1
I
_ __._~._L=-_.~~==-==~~=.__ ___
._i_L---_- .
,
, ;
: '
. i ;1
I r r
3 ~-(f)
...1.
I
l: QJ(J
I i ~ X ~
! : ": \[)
., , 1 j ,;>
i i ~ \:: '\)J
: <1 \
----V2) ~/ \ C \~ \-.., C Cn.-) ~. ~c, c.. '"D CT '-'1 ~~,
a t-~ -:f- Lc...~~..,'~ ~";;~\.J \ \ \ ~ C)'\ .,>, \..>_.~
\;\\ ~G- ~'l\ '- ~\.
//
/
(
I
. .~!
t.oX!.u \~
l' ^ \, I
t"" r "'..\
V \'":~' (/"~ ~ )Q
r
I
+..-
~._-
',-
.~. ...- ~.
4"
J,
"v I-_..f!
,...+- . ....i\_i' '---
~ " >-i
--,,_. '-'-'-~'''''''~'.' '-~--'.'~
r .. -..---.----
_ P' .~.___A..._._._.. .__._.._ .__. '__0._
rDO.......j :"',~., , .
"-'" C) I) r .
~C-L
C t<'" . , . \
::- - \ Co ~- \ t.) \,L. ~(....\ .~
<5 L,=:; 1:S
l
------...--.-
-~-.--.__.-.,.- ...._~.- .~_. ..-_._.._.._~_......_... ..~.__._-
-\\-:) ~ \ C \~ \,~_. C C) \<\ :_~G" c... 'b CT (....1 L
D ~ --:::f- Lc..~~...,'~ .\.l..-;~\.)\, \ ':::I CJ,.~\..~....._~
)-1 " i \C.Gc h \ ( '::::T 1...0 X /.; ~ \ <::J
(
l{l '..." \ ) 'V\"~(/.,''1 p, :>.Q
r-
I
+-..-
~.-.
:~ ".- .
411
~
'.
'...
'ZS /I >-4
["_U'_" _____..__,.......__..._ --
,-~.......__..- .---
4____.
fO(jj:t:.( , . '....
... () j.J c;;. C... \...
C ""-, '/ ' \
::. r ~ ('_ \ t.) \.1.,.. ~(,...\ ,~
c:5LO r~
i l
I
I
'--
--. .... -. - "'.~. ~-" "" ~._-.-~--
OWNER -t-\ tAL~:>c->C.J~,L~
\,;,LC.I.'J: UJ:- 6ta..1iUUi.U......::>> tiU.i..idJJ.Nb JJIU"Ain."iiANl" _
V .'"' ~
~- L,\C-'Ll.......(!"',_
I ')
JOB. LOCATION
PARCEL I.D. #
~ c} r---.., <) i"-
, C" ,,\' ".J v,J
C~J {' ~
~.-'\--
, )
SHOW ALL EXIS"1"IHG & PROPOSED STRUC"ftJRES GIVDIG DDlENSIOHS & SE'l'BACKS.
19'})
i S
lj-t":J-r;:ju
f ft.iJ> f
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
(i'f.( 51144
() N. l~
"€~ I t~J.' >,
... ..1
l,)<. I :~, ' I ,,'',jC' ~
,"t.. ,) f~
.}.. :>
- - f(fr-
. "i?i,..A'l.- S'J
"5 t -)(>'~.,,;)
\~ .\~-\-'
-:~ ~') C~
'1'0
'q~
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
~ ..,
FRON PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR R1, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
10'
..P E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAH 30'DUPLEX
1 0'
FROJrr PROPER"l"Y LIKE
FRON'I' PROPERrY LINE
_ CITY OF ZEPHYRHILLS BUILDING DEPARTHEN'T .-
OWNER . -\.4 6,(lpC.:..>C-6.L- ~L_\C~6~
'~--;,
I J
JOB LOCATION
3~...cS2JU E _~L~
~
PARCEL I.D. #
SHOW ALL EXIS'!'IRG Ii: PROPOSED STRUC!'ORES GIVDIG DIMENSIOHS Ii: SETBACKS.
l.9~
IS
w~-r;tu
f {{iP f
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
I&'(v( Sll~
() AI. t-f'
ItP0
C:-,< I ::;-;-. ~<:.
"5l.r,{) ~
"j5IJ" LIS"::)
'5 t-4Q~
- ftj--
_..~
\ >.:) \' \ \
S\-Of3
-"-to~-
lpD
'''"'
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
FRON PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR R1, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
10'
P E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAH 30 'DUPLEX
1 O'
FROR'1" PROPERTY LDIB
FROR'1" PROPER'I'Y LDIB
!1 I''?:
(':" -
/. ',<
PROPOSAL SUBMITTED TO
I '
ir\ ~:j,J ~:. ,<.,
STREET
, r"
:-,":/<--c.- ~,~','~) C"'~ \.
CITY, STATE AND ZIP CODE
,,', 'I
~',:: (:.,. , (j
'roposul
Page No.
" ,'''-'
, ...J.
,y" IlISI~...
.. ~ '-"}y".
; I ;' ~
'~ \.._",..(,~
~('lf'\li.:"~<
Sf ~N ~TilT!l:" ," U}!"II!NU~"
37528 Hwy, 54 We~
~F~H.-+'./. ; ~ -, ;-l.tJ?~ Jt. 'i'" C,(~
~Mr
, ,-~"
';,
\813) 788.7308
--_) .k.
,,'-
t._L
c_
'~-
.~
DATE OF PLANS
~ (",
'\ \, ..
''... ~ """ \;,
We hereby submit specifications and estimates for:
\")
'.(_ f
" ....---...
'-,?--
L\ ~\~.~J
\.J.>
\
\
\ .-,
\Cr- '7
\ "'- ,,'\.
"""~:~"~.),, \ ~
\
,
\--r-'
\ '-,
c::=-
-,
(-'~'''''_.'~:::'
- ~..:;:. \ D
',~ "\') \,~-....?
-1
-,
'--'
,
"-J
, "
"~""\P \ \ _,'~)-"j . ,t.....
\{ ~"\~~.-
....,
_.~~~'l
/~\
~ \\\,-
\ .-
/ '.
t j
"
'L'.~."'"
\.'1,,:'"
\.\\
\ ,
"~
~. .
\:-.L, '("'~, \ 7..--
."-"
P~NE.
,
JOB LOCATION
. '-J"") ,.::S--', ".... (~,,)
\ {
~~
\ \K; lZ-.\('"
.'. ~
-=~ \,-/ ,",
--:;'1--'" .-...1
i
'-
/"
.~:~-..\_~\ {..
,) ;\_""1 ..
)'.
. ~fr-"~
t.- '::,::0:,,'
.H')',
"", ~.~<,.
Dr 'rupunr hereby to furnish material and labor - complete in
\
~,.. ,-,~"",.-.~--_.'~
~... .;.~-~- "., ~.~-::~,
ayfnent to be made as follows:
-----~ - ";.-
_-..l,,~"'-'..1'(''''''''_'
-~-:':'~:"."~"'l
.""~~'.-'",
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifica.
tions involving extra costs will be executed only upon written orders, and will become an
extra charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.
Atttpluutt nf Jrnpnsul- The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above,
Date of Acceptance:
of
E'ages
JOB PHON E
t
/~
, '
,(~ ;
---"
accordance with above specifications, for the sum of:
-',c' ,~
\ \ .,:) \~
'r-"
"
t'.
t _ .......
-'\"j'~
..dollars. ($
,,~
.,<--.;"............ --~
'-..:~
"
-. \
".-;
''',
,~. ~_."'..-
Authorized ,<' <' ~="'>:.
Signature . ....-;.-'".
- _.- -N~:;;:sal may be
withdrawn by us if not accepted within
Signatu~' !x '/,'>" r~>
/
::..t::r~_/__ &, -,..~j~
PRODUCT 118.3 (I\IEBS/"IIIC" GrotOIl, Mass, 01471. To Order PHONE TOll FREE 1+800.225.6380
Signature
),
days,
~