HomeMy WebLinkAbout94-4514
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788.6611
P . N'o
ermlt '.
45148'
/cJ--~ ~9r
Date
~~
~lNG '
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
./"L
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: 0 Energy Code:
Description of Work 1 -^-<~ - .-<:J A-/-
-, (:)? 00
Radon G.., :'_30
/.h--A/~- :-L ~&~!L
'7?e~ if'fY7 E
NO OCCUPANCY BEFORE C,Q,
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C,Q.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price ~ ,/,;L O. cr-o
City License Registration # / C::. 0
State Certified License#
a~ ab//vJ1~Al_u~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
1~,q,'t4 ~LU
12-Q#'1'i 6tU
Breakers
Ducts Insl.
Compressor
Final
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Tp. Serv.
Rough In
Meter Can
Canst, Pole
Pool
Pre-Meter
Final
Driveway 1.J-/2--t(tf
6i-i--
.
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,
/ ;J,:c..I- - y.. Y
APPLICATION FOR PERKlT
CITY OF ZEPIIYIUIILLS
BUILDING DEPARTKENT
/. '/~)- '~PH
OWNER' S RAKE
WlJeNKR-
OWNER' S ADDRESS,1 tJ;r:. 7tJ {,.Q.i R I ~E WAr
JlIC-ro~
PHONE
7 Pd .- P'I<J'l
./)e ,
JOB ADDRESS
_, /:1 r?J 12-
LEGAL DESCRIP'fION: IDT(S) BLOCK SUBDIVISION
PARCEL I.D....:;>-;;;t-.:}I-O/:7{)~-tJtJtJoo~tJ7/)O (OBTAIN PROM PROPERTY TAX NOTICE)
WORK PROPOSED: /New Coostruction ---.-.Addition --Alteration -.Jtepair _Install
_Sign
----Hove
_Deaolish
PROPOSED USE: L/Single Faaily
----1t/F _.. of Units ----1l/H
_~ercia1
_Indust. _Swia. Pool _Other
~estaurant &: Health Departaent Approval
DESCRIPTION OF WORK: CcJAJCU-'/C~ j)/J/vE - SflfJO - C;a.teJ::>OR.,
BUILDIHG SIZE:
r' X /.2.. .
9b
e /
Square Feet, 3-'J Height
RESIDEBTL\L: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
COMMERCIAL: ATrACH (3) SETS OF BUILDIHG PLANS &: (1) SET ENERGY FORHS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
V;UILDIRG
$
'lId!>, 00
Valuation of Total Construction
_ELECTlUCAL
AtIP Service
Florida Power Corp.
W.R.E.C.
----1tECllAllICAL
$
Valuation of Hecbanical Installation
~UKBING GAS ROOFING
SPECIALTY .
TYPE OF CONSTRUCTION: -Block _Fraae _Steel
Other
PDJISBED FLOOR ELEVAnOIlS:
PT.
IS PROJECT 1R FLOOD ZONE AREA!
YES NO
..........................................
Bun.nER
CONTRACTOR SECTION
. . ,.cOtIPAU )JC-tE /7 /... ft. tft .
/J /1// j.... J', ' State Cert. or Regist." C~(;O~l/hPlJ
~~ City License Registration" /'~D
, .
..........................................
Signature
ELECTRICIAR
COMPANY
State Cert. or Regist. ..
City License Registration ..
..........................................
Sianature
Signature
COMPAU
State Cert. or Regist. ..
City License Registration .
..........................................
PLUMBER
KECllARICAL
COMPANY
State Cert. or Regist. ..
City License Registration .
..........................................
Signature
OTRRR
COMPANY
State Cert. or Regist. I:
Signature City License Registration I:
..........................................
APPLI+~ ~~. BY . " '" .~~." , 'PEIlIlITdFFlCER.
...... -"~,.".,.". ~ #' ..: : <.
Ii :" . - ,'~'" ~ j
~
n,~;Jt
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
fbe undersigned understands that this pel'lit lilY be subject to .deed restrictions. wbieb lilY be lOre restrictive than City
regulations. Ihe undersigned asSUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake wort, they lilY be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lilY be
cited for a .isd_anor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireleJlts lilY apply for the intended wort, they are advised to contact the City of Zephyrhills Building Deparuent, (813)
788-6611.
FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
.Contractor Sections. of this application for whieb they lIill be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor lIishes you to sign
as contractor that lily be an indication that be is not properly licensed and is not entitled to peraitting privileges in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided lIith a copy of .Florida's Construction Lien Lall - BOJeOWJler's Protection
Guide" prepared by the Florida Deparuent of Agriculture and ConsUJer Affairs. If the applicant is sOJleOne other than the
Downer", I certify that I have obtained a copy of the above described docuIent and prOlise in good faith to deliver it to the
Downer. prior to COlllenCeIeJlt. -
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all wort viII be done in cOlpliance lIith all
applicable lalls regulating construction, loning, and land developlellt.
Application is bereby Jade to obtain a perlit to do wort and installation as indicated. I certify that DO vortor
installation has COMenced prior to issuance of a pel'lit and that all IIOrt lIill be perforJed to Het standards of all laws
regulating construction, City codes, loning regulations, and land developJent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveIDlental agenCies lily apply to the intended wort, and that it is
IY responsibility to identify what actions I lust take to be in COIpliance. Sueb agencies include but are not lilited to:
t Deparl:lent of BnvirODJeJltal Regulation - Cypress Baybeads, Vetland Areas and EnviroDJentally Sensitive Lands,
Vater/Wastewater Ireauent
t Southwest Florida Vater Managetent District - VeIls, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seallalls, Docks, lavigable Vatenays
* DepartJent of Health i Rebabilitative Services, EnvirDDJeDtal Health Unit - VeIls, Vastellater Ireatlent, Septic !anks
t US EnvirOJlleDtal Protection Agency - Asbestos abateleJlt
I also certify that, if fill Iilterial is to be used in Flood ZOne .AD or .A,etc.., it is understood that a drainage plan
addressing a .COIpensating vol_" lIill be sublitted IIbieb is prepared by a professional engineer registered in the State of
Florida prior to perait issuance. .
A perait issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a pel'lit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall bealle invalid
unless the work authoriled by sueb perait is COII8Jlced within sillOntbs of issuance, or if wort authorized by the pemit is
suspended or abandoned for a period of sil IODths after the tile the work Is COIIenced. One 90 day eltension of tile, lily be
allowed for the perait with fee charge of $15.00. fbe eltension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during eaeb sillODth period, or the project lIill be considered abandoned.
WARNIMG TO OIINER: YOUR FAILURE !O RECORD A NOIICI OF COIfMIKCBIIBNf MAY RESUL! II YOUR PAYIIG filCl FOR IMPROVEMBIfS fO YOUR
. . . ~
PROPERlY. IF YOU IIft'BIiD 'fO OBIAIN 'FIIWICIIlG, CONSULI vIm YOUR LINDER OR AM AftORNBY BEFORE RECORDING YOUR NOIICI OF
COHHENCIMBN1' . JOBS U 50 lED fO RECOJlD AIfD POSf A DMOIICI OF COMMEJlCBMEN'lI.
SIWI~- ~
SrATE OF FLORIDA
COUNfY OF ; j.J oS e..o
The foregoing instrument was acknowledged
before me this ~ S 193.!t by,
KAy' .D J} JJ J P"l_ s:
who is personally known to me Dr ~D has
p.Luduced
as idefttific:ati~11 and who .ai4/did not
take~~ . ~
(Signature) Jt
j( II Tl-i L--EE:.-,J .:I, :b/lt;.w JJ
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
SrAfE OF FLORIDA
COUNTY OF (J/-J.sc D
The foregoing instrument was aCknowledged
before me thisJk:.~~ ,K, 19~ by
A L$ER.T SIMS
who is personally known to me Dr ~3 haa
prsd&eed
aD IdeuLlr~C8tieB and who ~did not
take an o~ r-/J- 12)
~~!}J ~
(Signature) 72
k:ATl-lu.-~ 0. J2~ \ AJ
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
t1(::~
.\
KATHLEEN J. BROWN
S~E\te of Florida
My CQmm, Elr/.l. A&ri 2. 1995
CclmIt., tc 095617
~Je. '''~.
2 jJft. 1,
KATr\L~"" ',~:,)WN
...;)t.::Le ,iQ(IJ-:.1
My Co/mI. Exp.JlpriI2. 1991
er.rnm. , CC ClI66t 7
38545 Palm Grove Drive
Zephyrhills, Florida 33540
ACE
ALUMINUM
Job No,
Phone: (813) 782-2616
I
',,--
SOLD TO
ADDRESS
SHIPTO
DATE
PHONE
IJflI!~C/JAJ ?/1~)J.. 'r !lPJUS'p/If}G
.L..tJ~ 70 C?/d.S ~ I o~ i WA., DR.,
2;.( ~f/ 1"1< HILLS .F/. ...:?./S-i/ I
/~ - s-~9 L/
p~ DI!Yc
Ie
q'
o
~J..,
"--
\....-'
The undersigned agrees to pay
INSTALLERS IN FULL ON COMPLETION
PERMIT
PRICE
TAX
TOTAL PRICE
EPOSIT
BALANCE C.O.D.
00
/lI#~~
Ilep,
SlTR l'lM
,(R.2SlDENTlAL USR OHLY~
0,
l'AHCEI. I. D,
3 ~b
~ '1'Wl'
~J
IlNG
100 x -(;C'J ,Cfl~
OR~O
suuu
o (JQO ()
"LOCK
-() 'lOO
Lor
5"9' ~.
UtVO!i. J?:~
1'/lOI'lmTY t\1:.ASUItI.:J1l:lH
""t" " . '.1,.
f'
._...
. .. .~-.-..~.
ClJllilEIH O\"'l ~tS
o .
tI'/c TO/?-
-(1J8?v F f?-
HA'1'E
!:X- s= 'Ii
.AIl drawings shall bo drawn to 8CAlu for all parcols or lot. flve acras or le~a,
(
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slim" ALL fJ\lSl'lNC AND PROrOSED S'rRUCTUItES CIVINC DIKEHSION:l AND SIITnAC~. AL:D, lIllH CA TE
MiY nou.lJ::s Of WATf-R AND ROA.l>WAYS (INCLUDING NAtlES) ADJAC~'r TO 'filE PIlOPE.ItTY. HlU 1 CA'1'1.::
TilE SIZE, YEJ~It, Nib NhHE OfHO~:t1.E. suell AS 12' x 60'. 198\, FLEETWOOU.
~ II "EASEHEN1S". "RIGUT-O.r-WAY" und, ~'JURlSDlCTlONAL LINES". .aulI~: be shown on all sHe plaUS1
1>0 tlOT ENCROACn INTO ANY EASEMENT WITH A STRUCTURE
tlOU5E CONSTRUCTION
'UU: .',...
'u, . lOft.t
PROPOSED ADDITIOIi
.uu: .'. ..'
"'-~DIL.t tiOhlE SETUP I
IULll". .~. ,
.... . 10 It,I
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iih ;!}'\'f~o~O~jl;~;q
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:~~. ~lt' . ..,..~.'IO. \I'~~ ~~ t-'*- '-JfttAfil ,'~,i;;}r~" '.J. "I.
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:,,\~,... 1.,1 ~r!. .. .,hot
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10'
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.
~
10'
110"0 .."wr
1I0AO 'uwr
110411 M"Wl
.
1- s Il ... II \.1" : rc~
HOST STRVCMlt ~ r"i:.A 1 9"S-f,.l,QA Cl:h"€COOf Rt~.(>4rs r~ VAAlC1J'S
L O.lD C1:1O na.s
LCoAD crtO fk)j$
~~ \flOOTY LOAOS WD + UI,( LO.ALS
~ ROO.lS
HOST S1RUCT1..'F! 100 '.1m 110 lS'1i 120 ~ 'llt/".f j21/~ S711SF
I. CCt~TE 1/."11-1/3" rornrr ~IS t 12. o.C.------>2 ~ l' O.c.
2. ':o:xJ fR.A.!.lE 1/."r1,' I).(i $CrUS') 6" O.c.------------>2 , I" O.c.
ScrH.~, 'r\N'It, 00 c.wcR rs
HOST ST?lJCi1.f.:E 100 \/Ai 110 ~ 120 ~ 221~ j211~ S71N
1. rornTE 1/4"II-li8" CUa-fll: sa:f'#S ) 12" O.c.------>2 <),. ~.C.
2. '.~ mJ:s.: l/."r1," LI,G SCJ;'E'M'S ~ 12" O.c.----------->2 ~ 1 o.c.
NOTES: ';(X"Q SfRlJCms :i;(WJ O::<<C1 iO 1RUSS suns ~ 1};( SV'8 r,4,(U
fRIJalC ~ F{)SSaE (R'( \~ ~ so:<'t:'a5 0.<( a( Cl.JT'SlQE TI!(
TlW'SS SUTTS('>>3 r AOA N() T'rlO~ ~ SWU HA',f: WJaE ,'.Ija~
.lU ~ ':'110 n{ HOST Sffi'JcruRf: ~ KA\€ IJiN l-I/."lt'A~U'S
~ ~.AU ~iAsr,ER HEACQ S/...~
12" X 3" X 3105-H14 RISER PANEL
1 r l~" t
~[7
1
12" X 3" X 3005-H28 RISER PANEL
1 r li'5" t
[7
!
PRCfERT:ES
0024'
It'
?
I
!
O_OJ:'
i'llCf(K nES
12"
1
1
4 . -1400 ",,211 . 11~ pH
I . tQ.4Ja/-~271 n.4
A . 11600 ",,' IT . 11~ pH
I . +11610/-oJ.42J n.4
T.taE 1 ~ RCn P,1,If S'.4,'iS f(~ CA~rs. mEN ,\ 't-:N'rt ~
.aJ.1AlN~ :oJSTilY STJ#.)~ ,\!lOY jt05 IH. .!t H-~~
pm SZE (Cd P,'.\f S'Al-I U7 . ""12 + Q.H." S!1: Cft,1ft."IC) .
lQ"X In a.0'2$"~'40 O.H.__" O.Jt_t O.H._J 0.1-1._
100 l1l\-if. LC-'O a'- r 14'- r;,' 14'- 'j' I~'-~"
110 ~ I. LQ.ID It- 11" IS- 1" Ir- 6" ,,,- 2"
120 ~ 1. LO.'O 11'- II" It- I" !t- 5. '3"- j
In 12"X 0.0J2"
100 ~ ... LClO
110 !dPH ... LQIoi)
120 ~ 'L LQ.&D
16'- 68
15'- 0"
Ir- 10"
16'- a-
15'- 2"
13'- 11"
1?~Q7"1~--
15'- 5' Hj'- I"
15'-." 16'- o.
NOTE: sn~G ~ M: ?AN f.{~1G IS R'ECC"oiIolD<<D. ~ S11TCFi,'/C IS NOT
PfIO't<<O 'tlllGx 1/2" SCREWS') t o.c. no m-JQ: !ME .AOO\f.:
~^,\j$ at 20.t. (X)~L 1O~;( In 11026" "'/ NO O.H. ~M 11'- .rx
(IOC.t - 2CX) · IUS'x 1180 :: 1.0' :: 9'- 0'.
YANUF ACTURERS PROPRIETARY SUPPUES
TAblE 1 \.lAX. R<'n S~1D.4 ~A.~S f~ ROY,\t AlIJoIi.'il.'.I Sl.Jl'(R ?A!;S USE) ~
sa<ID;\lf:l, R0Ct.4S 1 OR?~TS(Cf'{:-l f.(J:!.Cl1lGS)
PROOXT PATtNT 1 .,31S,898$
N,Ul.liNl.l(t!4 ~Oy ~1C6 H-2a l.IiNI\lW 'r.uo 3O.m ?SI
PAN SlZE f~ PA.~ <.1',10.'4 U~ 2 "'1/2 + o.H: StI CP.A'~ICS I
'MH) LO-'OS CH cnN OOlDi.liCS Sl.iOi AS so;:r~;v.:;'r1. ROC~S ~ CAR?CRTS
B"X 12":( 0.022..-'10 O.H___1' OH-_-2' O.H___J' O.H _
100 \,Jf'H t. l~ 16'- 5" 16'- S" 16'- 10" 11- f
110 ~ .. L~ 14'- 10" 1.'- 11" \5'- j" 15'- 10'
120 YPH 'If. LOAD TS- II" 14'- ,0 1.'-~" 15'- 0"
2.5"X 12~.( o.m
100 !&PH t. LON)
110 I6'H ... LQ.ID
1 N laPH t. L CJ.D
2.5":( 12":( 0.0])
100 loiPH II. L C.4D
110 ~ t. LOJD
120 I6'H ... LOAD
2Sx 12":( o.~
100 \l?H to LQ.A.O
11 0 UPH .. L Q.&D
120 IJPH w. L~
16'- \1-;--19'- ~-"'I9~--ig.:--i-------
17- I" 17- 2" Ir- 6" 18'- 0"
)6'- ," 16'- J 16'-'" lr- I"
19'- Icr---19'- 11"
1 f - II" 13" - rf
16'- 10' 17- 0"
-20' -r-----
T,!'- go
17- 10"
2<1- r
16'- j
Ir- j
---
21- ."
'N - .'
19'- J
21' - r
19'- 6"
18'- 5"
21'- ~
\1 - a-
18'- S"
21'- 11"
19'- 11"
18'- 10"
48" x 3" x 3105-H14 COMPOSITE PANEL
1 ~ r
~ II'ill'I'i'I'I'i'I'llj'J'I','lld,'I'I!,I. '1',I)!,'",','I!",',} (
:,.,
0.024" : Itll. 0.7<< n"/ It. P,IM1 caW.C11()t C(TM. ~I.1t.
0-1)32' : ~II 2 0-871 n../II. TO ':1'A/l
1.5 , EPS ~ ~fY
(L()Jt"
'.
12" x J' x 3105-H14 RISER PANEL
1 r ~~" t
r7 ?
L-L-~
! 12" 1
O-Cd
~R11{S
A . 0.50 ..'
'IT 8 0.717 pJ.1. .
I . +0-5nl-<l.-\6 A.
48" x 4" x 3105-H14 COMPOSITE PANEL
~r ~. r
r- fiTiTlII11Ijl,'i'I"" '1'1'1 '1111,'1'1'1 ',III:',', "'III'III'I'J (
'...
4 8 0.7$ iL1
'IT. 0.717 1L1t 4
I 8 +oJ.i'S1/-<1711 n.
0.024" : le/f 8 '~2 n../ II. p~ ~~ cnll\. ~Tl(,
o.OJt': ~I . 1.ISQ n../ It. 10 ':1'N4
1 ~ , EPS CU't 00\Sl fY
MANUf'ACTURL~S' F~Cf~:ETARY ~PFtJES
T.IaE I: ~~.~ R((f ~,\.~S fC~ un: P,\;4], r.~T') .'lC. ~
srllt~i1.jP."l n.'ius, :No:
,IU;1-'}.t... ~TE ?'-'ill STAl~.I,Cj) ?l;'il. \1/..l(~~U~ ~()rn;N(j
3105-i111;li-~~ ,\!let U I (?S CC'! OC"-Sf1
'lilNO L C)DS
SO'rEN <l Yk't'<t RCQ.J$. C;l..~~ At() on-v cn:~ Ol.lt:-J..s
J'x o.OI9"___lO_O"'1. ,'_o.H. t _,).H.___) _O.H._
100 ~-iif, L 14'- r 14'- ,r' i~'- ," l~'- t
110 :.JP:-i 'N. L IS-." lJ'- 5" It- II" 14'- r
120~.t L 12'-." 12'- s' It- II" lJ'- 3"
J"x 0.0:."
100 'olPH '/f. L
110 !GH 'II. L
'20 !./PH .". L
j.x o.OJr_
100 Il?i 'If. L
\10 IJPH 'If. L
T20 'af1-i '... L
lr- 'j'
16'- J
1~'- o'
,,- II"
10 - ."
l~'- r
15'. r
tt-'j"
15'- ,.
16'- t
IT- 4"
1S'- t
20'- r
16'- 10"
lr- 5"
2<1- )"
13" - 11.
It- 0
,:,'- ,t
11- ."
It- 10'
------
21'- s"
11'- :0"
16'- S"
DUD + U\(lON) ! ~/~O'll Le.ID (l1CtLa:S 2 //7 OC"D LO,tD)
AU. EXJ:tD~iG li'ftS
3"x 0_013"___ ----
221,'<$ 12'- 0" 12'. r ,t- r lJ'. ~"
m;:r I()'- o' 10'- l' 10'- g" It' - a'
~71/'5t T- o T- 't 6'- 0" '1- r
j"x 0.02."_ ----
221/<j 1.'- 3" 1.'- 10" 15'- J" \5'- 10"
j21/':1' .- 2" It- ." It- 10' 13'- r
571/':1' - I" " 1- .." oj- II" 10' - 11"
jx O. OJ 2" ________
ilI/'5t If- 0" It- 2" If- o' 18'- I"
321~ 1.'- 2' 14'- $" 14'- 3" 15'- 5"
~71f'J H),,- g" 1()'- 10" 11'- 5" It - ."
94 - \)0 064
POST:
$" x f x O-WI' :<.-SJ 0.12 1.1J
SOUGt'O 1t
S" x f x o.CSJ' &.13 tea I.li
S(.&U-:fO fl
$" x j" I O..l~,)" W I.~ 1.17
st.~~ ;s
." x 4. 1 '11~" ~ lH t~.3
X,lUCfD :~
MEETS THE RF.OU!Rr::~IENT~3
OF CHAPTER 12r)'5 SSC 1991 ED
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