|
�
<br />_ .,.
<br />c � �����, . r�;sr , � _ .
<br />. . �
<br />;.1ajuG� �`
<br />i IL� r 1i; � n. � .
<br />+-r.._.,���",.1 Ti' ,;L4 :;i�.,�,.'r�fT ., tiY� ' ----�-----�—_
<br />Ai 1 r�•.:
<br />„_-1 ,�i� L�aT`�'t� --�
<br />1.�.'ii? `�( �`l/lL .
<br />•cific cccnitT�ent cendition^ (zpP�icnble when cliecked)
<br />i-----. -, nroizssionnl �^:`nn�r.
<br />,.�'..e: :�.:i1. z•eqiumd repnirs mnst Le c�:�:inleted ��3'
<br />i c :ubmittec: bet_are
<br />,, ` �n letirni must _ -- --
<br />i,ll cez`.i1'ica:�.ions ar.d�or i�er,t eoatrol eertzf;enLe:: e. j� —. iJ��i; rec::�rcr.en�l;_?
<br />�_ ; .r�_li r=a��ired. -- — rc7:.::'
<br />:c�ir�� _ �i I�.cr��_�':r c_i rer,air::., �,ote__' .,-- :'re o��a_::�d �i;i c.: J
<br />_ ___ _ _ _ ' CC: _. 1CSlLJ.. �
<br />- ..;.
<br />. _
<br />. .. i
<br />:.....__. ..v�-- .': . �.. ..:-:.. . .r.. . - �-
<br />- -c :: --=• --- ------ rr.er ad,incent propert.y is of record.
<br />'�7-3:+ L;�uDn;t wriY.c:�. caidence: tt:nt enser.'�cnt fu:• drivewu;�
<br />; �Q ��t. cushionin; in�talled
<br />,-',a ,�-� ^he manufnct:urvr� �:,i• tlie a:mplie7', o:' tlic canet ar.d cr �"1 et. nnd/or car�et
<br />� in Caunectinr, uith 1.!ii:�. tr.uc'nctinn 5}:gll CCa'� �t'Y Lt�+:l. l,li<= ca3'p
<br />J�i.:i:i� .:c:,i� ..1 l i iicc. :�..� . ..,..�.� cimiLL.ii�l:: iir�.:.cT l�.ed iR tl:: iJ:.v oS 1{ulcrii�.l:�.
<br />-�.11etiri �.�. ����", I�o��e:ncer ^5, l�i<< ii' tJ�e certiiicuti�n Lo 1•IGl crn'ie^ ircm tl:e
<br />— � lco bc
<br />�----
<br />�uronlier, n cn.�v o� the �r.^.nciacturer':_•ertiiicnti..�r, to t.11e ,in lier nu�st
<br />.t:t^�itte:i Y., ;'i%�.,
<br />.__��^ ��.' �::�i:; an^a:iit��ient ic i�sucd i�por. �ehe cord'_tiou th�t tlte �pei.�'"-=�3 repniTa o3' nlaeClea2'',c�
<br />_ _ `,.
<br />�-- .z71 L2�.c l,..en r,r-,i„ ,^ir:r to is::uetwe o:' ti�e fit^n cnimiitment u� evi�ie�,ce�1
<br />._:.al ir.�r,ectinr: rorrr` fi.^r; 4U: , ':ne es':imntel tntal co::t of tlic fore�tuiii:; xepaira
<br />i: _
<br />?t �ia imderatood ar.d n�'rc�_3 th;it ln the event t:;e m�rt;ra,-cc iails to sti�mit satisfactur��
<br />e��idence t�t:at tiL'e coct o�' requi.:•ed rep.ii.i•❑ or altci'�:tJ.one� effectunted eauaic ��r ex.�:��ct:��
<br />ti:c c;tir�s;e i:creir., c;:e e�+.i�r.at.e oi' �:alt:c �tated � l>�-c �.aill te re�li .�d .. �c n_n��`:.: -
<br />�
<br />tlie cli:fcrer.ce betweei: t}�e eaiunated ec-.L cf' r,•nairs reqvired and tl., i....�_:2i .
<br />renu:reu ro-:airs pe:f�rme�i.
<br />'_1,7_ !% inic <��:vczi'�rsnt ir. i.;ci�ed ^n the condit��n ti;at Che aropert.Y will be aoecr��d h;; i'1:�.]
<br />. . � � �;�). :uc i, tia:��c
<br />� inav;-uce pr���icicd t:rdei Liie ::�t: , i31. ��7 .x,d ::c�iaa ��c . r,��i � � - .
<br />�'�ull he in a�, amot:i.t r.'. � -'., equal .,r� ciU �r tLe u!. ��".1�c: - t ilance :�. t�ic moi :-,e.,,���
<br />or tl:c m��i.•nn �.notir.t c, �� Ii i.n^tra��r �i� .1.�;�1�:, � icn�;cr _., lcce'ilttri,c,f:,tica¢tir.e
<br />ae.0 u;.r+ ����c�: cnall �,e :;i�l���-ated to r,:�i�ttn,in ,.`.�i❑ ie�..ura,c� eover¢i; .
<br />aa tl:e �n,•r'.ra.'r i:; in::ured ar.d ::'.'li' insuro�;co I.: a:�ailatic.
<br />•;�,,_I.:' /, Other 1� •'��r.0 u21 ;:;Ssei3�(_ t:nd 'ovo�.�.� wlluior. � lnsc�.
<br />' � �-�-=- —
<br />�:i e�t.+iIi•�-:+il-�a-S�ET�: �
<br />� �:. Tr5tu11 a� :.,�J:+tr l,ur_i•ai� _ �5:;::��:: � �. �.ar.'
<br />:�:�1, -rLc��zz��sr�r-
<br />: ) "" _ _ �� a_-------- _
<br />�,n,. :��CrS ('0;�,11,�'U t111 i,ifB:i:Z� C r� --
<br />s'] cur•. -t-:"-Lyi, �L„w .. ;, u v� , ai�ri�::itett�r:-in,�: _
<br />�!; ) Ii�Uttill hOt rll�.. �:O •
<br />,,� ��• it(:4; Ui(::::.5•��-1'T;,.U•:',i91' li�:`��7�1�: 1TJz`.��.
<br />,�a..—
<br />(� r:n-I�uGi.j t:)..L �.iu.tO.:l ;..^: 71(�:u,.,;� �T.r j_���.
<br />V � 1 _ 1 l(�(ll' : i . .11 i l� �_� J � . N. . •
<br />7� :itlt�asi t%^_Fii �1' iiY wii:�un 'l'1:<:iiN _ ' ' .
<br />T.:La(1GCJL tl:'.:u.i�U�IF�.II–�. ��`�`"' --
<br />Q! ILGLGII L' •.�i�tet'..U'UG1
<br />. [��;1F::e t.Zl G�'L4T•�icre:i.c.0 �.<.t:�•. vi:;; u�u�i��:���tt::5-T�LT ��rY11T�1±"�%T�''TF===�-
<br />y) ..a..,. s �, �i;_.:{.;:1.'1�, ..ar. c�nr�,. ,., x.�;sT•.i�"—'---- ---- —
<br />7'_ .',-.-'�; .��:.. �-!.-..�
<br />
|