|
—�
<br /> __ . . ,.� ", ,�.�.� ic��4 tsa ts�lStSi5t5yUUti » 8132694402 P 515
<br /> . . � t �, ,�• �
<br /> t �
<br /> �cot��:flAcz�� .. } . . .
<br /> :� . . .
<br /> ,;:_ :_. 'A,.. �,�.���;�:�:�.:
<br /> ;INSTAtS:Eb. AC�S:SpECfA(,tS , � , �: ' .., , .NUMB�R.'., ,;� j CUSTOMER I. -: . • � '
<br /> .. . �.>t���� � ; .�2:�:c�� : .,.,..;.:;:r; � ��55;�:�:1��: , � , � � .....
<br /> - . ...;;; .. !:..� � � ��
<br /> �� �-
<br /> � �.
<br /> ST4RE'N(). "' ' `:S'fRE�3�SS��" '�'�`�' .;` . , . ... .,. �STRE�YADbFi�'`S� ' � ��� '
<br /> _ �?5.'� '7 �� C�t.,.�'t�d �, r .,. :��z-5 :�" ��r�.:.... •�� .
<br /> CITY' .. . . • ..STA'[`E•. .. , ZIP , : - :.GtZY �'.'. • � :S'FA'1'�' .ZIP
<br /> .��� ,. .�� ��:.. 3-��.5���..: .��.,�.�,��. 5 . ' �� 3�Sy�� .
<br /> 7ELEPHONE., . . �e�p�� . . .. .�� , ' ,
<br /> 'iELEPHONE'
<br /> ' �,;��3�"�'�'�._ .:���:�c� � � � . , kI•3.,:t.�y_�J '1'��'6� '
<br /> .. ��� � . :_.: � .- �� - -
<br /> DATE`� " � �Ct7W�'S�CbN1Ti�i4CTOR L{CEN6E NUMBEA�' �. • :4 ASH' •�o;":• .. tCC :' • R�0 .
<br /> Z 2'7•Z t�i'7. . . . .. ,,� c,UwcE .
<br /> ��i�r i�,� ir� ' J' - - -�'
<br /> �
<br /> S'TREETAb�SFiESS , . . . Qf.TY . . . .. . STAI'E . Z!P
<br /> . �� .,�'��� �..�' �.�U.��: . ,.�. . - . . � .
<br /> �Adciitlan�rl.�Spe�ciffcatfoias'r, �The Enui�onmenta! Pxo..��ction Ag�ri.cy.{EFA} has_:requestecf fh�t.. � Mat��s -
<br /> Lo�n're's notify tristaitatlon cus#iiitie'rs fhat a leact•based paini:Fia2a�rd may+��ist in�dwetlings buitE . ' �zax .
<br /> =. � �..'.. ' • � . .� , �. •. . . . ' : .
<br /> . ...., . . .. .;. , �
<br /> :pi�i�r to1�78, ��ee,parnptitet'EF�A 7`�7-K-99-t3b`t;fbr detaiis: � � � �atior
<br /> ^��-<-4.�..G✓��1� r.r:�-i�a1! :���.LF � '�' -G+����e v7_n-+:�� i��:ck,t-�' ..�c»r�.. .i `'r�z� .
<br /> p �� > ' +�:. . -� 1'otat� x -ZZ:• �9
<br /> 1 k�G�. .L.�,,.1 .. <�i�c7l:, '�'?�'�CTS:..,��otrvC�.., ,t�ts � it Ll. ,4 .
<br /> ...
<br /> --r-----
<br /> . . .. .- �/�
<br /> ,...
<br /> �v�i.k' . <.c►�'�'.•_...�:8�+��=5� .Gv'ill: �C,.�t.o:v�.� �A�.C�` ��:Qe�.l.�.lLtv�le,�: '/����L.�r'' '.``t' . .t��. . . .
<br /> . �: . . . . '; .
<br /> exrs���;� �h�,�„� ��� °��►��.� ��►t• ���1•w.o �� ��^�j! I," h� � r��� �c�� t�r�!! � �°��t:�t... �k.�
<br /> r; �.. �Y„ ]� � , e
<br /> j a c.�G., b o��h '���5�.-�� . �.'oc-� ' . . .., .. . , . , .-. , , .. . . .... ir .... '.,. .
<br /> . - . • � . . . . .t---4-,:,, -. .. . ��. , . .. . . . . ,. , .,., , , . . , , , - .. .
<br /> . - . � . , � �� .. . , �.. . , , � , �
<br /> . . . - . � . .
<br /> 0 � �
<br /> . d
<br /> � . a
<br /> tN r3 is to comme'ce n rea ona�e �` ! ' 'i
<br /> o ., . .n up4. .,.. s I 1 availabll.fty of Cqntractor rVh�GN Is;an�telqated to be(+✓� y_.__��.�.___,jfill in date]. ,
<br /> .�sttmated:campfetion.date;i:��.�t.�t�^,��, .�. tv�.on:-��''� .•[fiU.In date�,. . l, � .
<br /> . ��, .. . , . . . _! .. .
<br /> . . . . :r_ �....:� ..,... . . •..; � ,.. � .. � .r„ . . . . . �. � . .. . . � . . .
<br /> NOTIC6�TQ CUST4IMER , ' . .. •, . ,
<br /> A11 it�rns iisted�in'ttiis'ccsntract F�nd speeifi�ation shoetls):�e to:be installed'YiMder�c�nditions�agreed.upon aY time:of•purch;�.se and:at the price appearing on•thfs
<br /> contract iorm. This assurime§s+�und:eXi;�t3hg sutistractures,st�perstructure:and:points.Ofi attachmants. .Extra l�baror.material•incident•to�instailation necessitated
<br /> by�d�fectfve substnii:tures,superst[ucit�Pe,•:pa(ei�s t�f'attacEirrieo2,.ar the�snouEng•of,�Situres:�i�.appliances'to•be btJi'sd:at:extca co5t.�to castomer.
<br /> DO�f,�7'SIGN SHlS CCIN7RACT'tiNTlL COtU1PLE`TE AN[1 Y�UI HAVE FiEkD�'THETEFiMS ANL1 Ct3Ni�iT(C�RiS CONTAtNED�tJN TFIE
<br /> RE;1C!°RS�'St!?E�OF TFIl��'C�lN7'C�AGT:�. :E3Y�SlGNtN��-$E�OV►fq�`��!O�!•AF�E AGKNUWL;EE�CzING�TH�i7 V�Jt;t°-HAYE;RELID, t1�fD�Rw
<br /> � $TAHIC1.Afi1D%iGiF�iE�;1`fJ�THE�'f'�E:Rf!�NS A{�'D`;C`ONDYt'iONS;'���FG1F�'fH bNl�T'h!E Ft�'V�l�SC SIDE Oi-�!'}-!!S�'CON7"RACT.,Ytit1 AR� �
<br /> {. . .
<br /> .EN`I"IT[:�Ct`TCI A:,CQPY'�OF'7'FT1S'.iCQNTEi[1;C'i'A�'•TEi��ItNE�'q1='SlG1VAT'l�Fi�• �• ... , . '
<br /> �� �. , ���..... �. �: .,. . .. : - • � .
<br /> WITNESSO.URNAND{S)AND•SEAL{S•)'BELO.'\+Vl'k-iIS 2��C)AYCjF'_ ��l�r�t'"�`�r � ' �
<br /> ,. . .. , . � � ,�-�---�-.
<br /> , l
<br /> � , {sea�>
<br /> p � ..ti ,.. �.• ♦ � , ... " .::' � .�.1 • •I.�'e � . ..
<br /> .' 9rr � , ., , {u6al) �. .[ ,. ,. . ,. . ' ' {Se81}.
<br /> S' ci' ist o�A � .. ., . . .. .,. . . :S'pou�e • : . .., ,. ' • . ,
<br /> ;. :s� a;
<br /> 'N 'cl ,y:
<br /> ,jr
<br /> v. � ... •� .. .. • . • . ` . ��. 5.. .... ' . 7� " " . ��.. � .., • � . � � ., �
<br /> .I' ,
<br /> ' : .i �. ' r +. , . . . . . i , ..'i • , , , '
<br /> I �
<br /> i �
<br /> �
<br /> �
<br />
|