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Building Permit #231-11 - 96 CASTLEMERE PLACE 9/16/2010
L- pl°RTF! BUILDING-PERMIT 0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION T ^ 4h A cecw,cr�Klr '1• A Permit NO: Date Received ��SsgcHus���C-) Date Issued: IMPORTANT:Applicant must complete all items on this page .3!tB'Y" d s: k-13�i - ?'� ..,F�. •m-� - �zxi::c ��:. .•. - :a?:.,:r rt}4_ - - uc*• :a .1. M,.�..:c_ -, ._•v,=. 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GSb rf� ,•.� fhi:,�.: _:' :9'• '.t�9::` al .?.. _' v�� Caai tsl�. ;$�J',., - - Z -;y. �. ?�'�-,�y��-�+",•�.,`�r-',n•-"G•;r".F!F - 7�-r�..��v....:�.�yv.�S:c.-''.��sF}ri:.:.t3fm`�.a1': ,�" 'r�r.C -�-,F,:�re_«.: ,,.•�:�.'F�o ,?,•.:`�;7p,�`F.',,��,: ���'r� ?r'I as 't, � �1 `7 v, rl ,r'6' >} �6 1��+ �I='�7^7+� ^i - `� ,.�c �'^C-Se+�yy6'�is5� •�.v.c'a ^x,'r"'y =s"� �- _ j}bra .c_� .t ��•^"':� .���, :Iz�7J1a,�6."�r. .r1.ST�1:CTu:.: �s�a�i.ots,�'r_a�, '�w.r_,1;��:�•r',.;�S�r_.r'�f�O,�:-y?a:�. _ � xfk'-'�.�' ��� ��.L�a _♦• _ _ ��Ly ,y,fa'L h' _ �,E6 7r3YW:'�s Aft-,,.,.A 5 �_ �5 7�: :��' � i"F`,. �yf» •'h+i"r�wT ti�s:,�.n. w �.'� ` �r�?'r �£�--.., ��I i'P7�__ •i•,.>•_ ,�?J I .k�- ,�r �',y i• u a'u',�^ + „r:r,s." :3s%;�, t `�;a i ;r L.inf �[.; ?{'af'r• Lo 4 7+ .•�'- �•: EJB:'ey,l.:,.:e "�-�''%n�G:�'n�_�.:$'�._.� r<�� Pr°-��'i r"js�c� -k. �I�z a� s Pr �1''*��•q i: i .raa 4 I W'•-, � ti'1, -�.� +.,:J j i.,_ r�rn� $.d'>�-'.�s7� -�1 ,.IF,'�r •ta-T 1 _c"�.r t y � rr:y t t i,-r - _ -- - _ '>r:,.x`a- '+.>. .�.,--,_, ::dr�",}_'-... -...ry •i.. .r., r-ra...;_.._�,..:TSIr::� ."1{t_�� ...st`i; TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Buildingne famil AdditionTwo or more•family Industrial Alteration No. of units: Commercial (-I�re-pair, replacement Assessory Bldg Others: lition Other ��2"�. r t I r�.W y"'� t. e �r��.�ia .7�D�n 1't� - ,aE'.'�€GS��+t�L��� i'.�irr-'ryr�" 3 u`���• r�-qrT•. CC+��:Zyi`#'rCJF1��,'r,�.Yh-�•��ree,�J'i s Jelt kax,7:�2s,l`��w;-'.�,.,-,�''�7:wgt„,._:14µT1tr r-t'?;'?I-N.S^v�£')s;''"•eiG_�:ee3 c:p+�!-_•rg_.'{,�'•w.,..�L_ i--'.•G�.#"4'rte�_,•1x-fi..�_c�r�Gstc".,.:,,�-,c;L-1;y.-'yi"�'-`r�.{r'="HL Tc�'t•,,:i;:`�-.:'-T�'r''ti`r.,:_�`+�,'�'+=' .��.1..'.�, �S-.:�ls.Fvi7 `Jyf_4..u. G:�.d3r4�s4.�_r}'�s�:r , . : v DESCRIPTIO OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) 137 OWNER: Name: CYN' S a t-.;, +o �.NrN Phone: J/7 �$�7 0S Address: 6 �,54tMe:c- /_l'i�y.l-'::.'�S��`�'=€�'+_. #..a-»....�.._si,._'c'J._,-e.,:tv,:a.;,.^s_LL._siu•�.�=.c.3k�,,.u'_�k'ms"E.,�-:.-,-.a�r_a..-.,'u.yr.6,,v-...^.'�.,=av:,�z„=.�" J'yCe -ui�.I-"'-3„s7�:•�I-r:.-.-»c�xJ�x�-�,-:._1..�r?.1.. I �rP';:r_:ffF��m.- .f,a�.+`••k°Gd-7�.'S `-u,r.,3-}� 00-1-1110Z � HE 401M 011, .,_s.;y.�',x--C,-••...f�prwe.'Sr',;r y�-.-�tY�v.'�"s"r="a'yxtr�.S':'�"-,a-.,..�uI-`'v'�{-f�_ �;��;``'y:•,;,-,,t,.+;'. 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No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000,00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 3�/,-o 66 FEE: $ $� Check No.: G Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access t guaranty fund T'y :�'_"r '� '`Ta.c.�`� S. k-. �'^`�v�:r=-_,�'¢„�.a'"��,,,� '.'. ^9t,:.a -µ a•s4� �a�r��ro#.���en�/O;ar.✓ner � �L"`�'� Location (C�S4 zt- e— eL No. ? Date f NQRTH, TOWN OF NORTH ANDOVER Certificate of Occupancy $ . e _.... s�CMUs Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # "3 1 '7 ►. 2 3 4 if Building Inspector J _L Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tannin g y S wimming� g/Massa eBod Art •Well 1 Tobacco Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS i CONSERVATION Reviewed on Signature COMMENTS j HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments -Conservation Decision: Comments Water& Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Os ood Street AT3ME -_f ., ... .. #rer .:o:nC1Y,.:n:..c,:.,..t!•r.-�:...._.�.�-..-::-.g•�am.,.. ,iw, - ; ' -_, �V- 2.4- ?�".N-� . .: _� '+..,..iii; y 1 :.I ) �•,� - i n `y: v r� A - - - yi: - - L: - - - T�S��` - - : _ Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 r Building Department The following is'a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or..Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract n Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit ,-,.New Construction (Single and Two Family) ❑ Building Permit Application 13CeiIH Proposed Plot Pian. ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2008 1 NORTH oV TMoAndover _ o d0 over, Mass., • � 6 ' 1 b COCMICMEWICK l�SDRATED BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D .� • • BUILDING INSPECTOR 1 THIS CERTIFIES THAT................. .... ........................... �.4...0..I..4.W.!4"►....%................................................. Foundation has permission to erect.................:...................... buildings on ....�1 ......CLR,&. 4..s.*o4.*,*......eta.&. 4. Rough to be occupied as......s......... ..*....... .......... .. �Y ............. ... .... .......... ���� Chimney provided that the person accep mg this permit shall in ev respect conform oZ the tariffs of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations'Voids this Permit. Rough q01 • Final PERMIT EXPIRES INa6N;�HS ELECTRICAL INSPECTOR UNLESS CONSTRUCST TS Rough ........................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner, Street No. SEE REVERSE SIDE Smoke Det. B/25/2010 7:49:12 AM PST (GMT-8) FROM: insurancevisions.com-TO: 19786889542 Page: 2 of 2 A4C" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDmrYY) `- 8/25/2010 PRODUCER PLANRIGHT INSURANCE &FINANCIAL LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 224 MAIN STREET STE 3C ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE SALEM, NH 03079 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 603 912-5646 603 912-5647 INSURERS AFFORDING COVERAGE NAIC# INSURED EDMUNDS GENERAL CONTRACTING LLC INSURERA: Liberty Mutual Grou PO BOX 2214 INSURER B: SALEM NH 03079 INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLTR NSRD1 TYPE OF INSURANCE LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES a occurrence $ CLAIMS MADE OCCUR MED EXP(Any one person) $ 42 PERSONAL&ADV INJURY $ GENERALAGGREGATE $ . GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Peraccident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHERTHAN EAACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION WC2-31S-369752-020 1/26/2010 1/26/2011 TWORYTATUS OEH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTNE E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? Y (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Workers Compensation Insurance:Part One of the policy applies only to the Workers Compensation Law of the State of MA. PHYSICAL ADDRESS: 114 OLD VILLAGE ROAD, NORTH ANDOVER, MA 01845 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF NORTH ANDOVER DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN BUILDING INSPECTOR NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 1600 OSGOOD STREET1 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR BUILDING#20, SUITE 2-36 REPRESENTATIVES. NORTH ANDOVER MA 01845 AUTHORIZED REPRESENTATIVE - Jeff Eldridge ACORD 25(2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. CERT NO.; 8109390 CLIENT CODE: 1338660 Anne Chandler 8/25/2010 7:47:13 AM Page 1 of 1 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confinnation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of .Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. I The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727.7749 www.mass.gov/dia r t � Fully Licensed and Insured Member of MA Better Business Bureau L 0 A a � Member of NH Better Business Bureau o IVI fKJ h�°hy GAF-ELK Cert.ME16226 HIC Reg If 159028 6 Genera! Contracting HIM 10 Stevens Street#141 •Andover, MA 01810•(978)475-0095 PROPOSAL SUBMITTED TO t PHONE DATE � cli-1-K_ STREET ` E-MAIL Rb C `,_ ^!_t-� �1 CITY,STATE,AND ZIP CODE JOB LOCATION Completely protect home with tarps to catch falling debris.Respect and protect shrubbery and flower beds. Strip off existing roofing material down to the bare roof deck. Inspect roof deck for structural defects and to determine the condition of underlying plywood or boards.Repair and replace as necessary*. z� Inspect roof ridge for proper 1 t/z"spacing on either side of ridge for maximum exhaust ventilation.Cut in if necessary. Install 6'of f^aC_ ` �_k"ryj- V' Ice and Water Shield at roof eaves. Install 3'of Ice and Water Shield centered in all roof valleys. Install Ice and Water Shield around all existing skylights. Install ) Ice and Water Shield around chimney base. Carefully remove existing siding from cheek walls. Inspect sldewall deck for structural defects and to determine the condition of underlying plywood or boards.Repair and replace as necessary*. Install We . t_r n k V\ Ice and Water Shield 11/2'from roof deck and 1'/2'up sidewall. Install a 2'x2'collar of_ t ice and water shield around all existing vent pipe penetrations. Install new_G1 vent pi'Se penetration boots to all existing vent pipe penetration. ht v;,v I ` elt.11 wr S(zCJ C l Install t�_.Q< Ao • 'd breathable roof deck protection to remainder of the roof deck. Install new 8"L and R 24 mm heavy gauge ?.r , c (color) t+1, a t _drip edge at roof eaves and gable rakes.o t f Install Pc , C,.,t art starter strip at roof eaves and gable rakes. Install Sr- C�tZ� C. -a.. .} desired color. I I'AN (color) Install new aluminum step flashings and apron flashings.Counter flash chimney. Install 1 ly (feet)of GAF ELK Cobra`r n.0 C.o,J r ridge vent at roof ridge for maximum exhaust ventilation.Hand nail to ensure proper fastening. Installi-4-1h7(feet)of-1 distinctive hip and ridge cap.Hand nail to ensure proper fastening. Thoroughly cleanup and dispose of-'all foofing`debris oh'property:Magnetically sweep property for nails. Notes:Tra.4 I p� 1 Et. stn 'rte e r 1 Ke ene�u A, a C. w* i. tC'lx• at�•v-�^�. yc,' (. e.P J' 1' Z� '.�',�G.�c,I i 4.`titi� I�G� \t.,.ep t` L_r11� E r r.a.d` C r1� �•� r..4 '. IG tru',t>, bol5v T?,.�,. �.I:i4�. 7 r.�,�+'�, �7';,t::, �.�-< S L.�,, u<F.,+. ,:��c«,l.�L+ .,.��ro�c, l`b�'' W � 7+c •.to:1t<y ' Edmunds General Contracting will: •Obtain all necessary permits to complete roof replacement work. ��c. W L •e. r �.r { t ., �.ry �yr> •Furnish and install all necessary materials to complete roof replacement I f`` t` 'eve i •Perform work as efficiently as possible without sacrificing quality U(x,,-�,-j C_ •Provide a thorough clean up and disposal of all debris generated during roof replacement Ujio�jc c, `c tG wx• t ►�( /j�ys`b J •Remove all roofing debris generated daily using our own dump trucks.NO LARGE CONTAINERS will be used tt •Recycle all asphalt roofing debris generated during roof replacement.,a-, t-T / •Thoroughly clean existing gutters of roofing debris. l+1g+r� AIL Edmunds General Contracting guarantees all workmanship performed for the life of the roof system.We will include an exclusive GAF-ELK ,,year Weather Stopper System Plus factory enhanced warranty. J w. IPLi--),(- ADDITIONAL NOTES:Edmunds General Contracting prohibits smoking on customer's property.Offers hand nail roofing services at no additional charge.(Yes/No). 1dmurft General Contracting will replare up to 2 sheets of CO%roof decking and 20of fascia at no additional cost to the customer.Any additional replacement or repairs will be brought to the attention of the customer and additional arrangements will be made to address repairs. l Ask me about Smart Money financing."Roof Now,Pay Later." Thank you for the opportunity to bid on your roof replacement work. C� 10C VrOP02;r-hereby to furnish-met e'rihand a 0 -4omplete in accordance with above specifications, for the sum of: 711 r+� ccf ar �l,_e�t �d.,..t /rve� --" -- __` dollars ($ �4 C��4 ). Payment to be mafie as follows: ° t 60 ' !I o, C7 �t iH f _s..• y rr r r Z f[ +:. ,(c r r 1 /^„e++ rr .+5 rJl.,.� C r - •s All material is guaranteed to be as specified.All work to be completed in a workmanlike manner Authorized Signature: according to standard practices.Any alteration or deviation from above specifications involving y 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 Note:This proposal mayWit W,n`/ __ control.Owner to carry fire,tornado and other necessary insurance.Our workers are fully covered by us if not accepted ivlthln � C, days. by Workmen's Compensation Insurance. / ,cA- tteptalla of V'r ropo!6dr - The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to Authorized Signature: _ •�•��- do the work as specified.Payment will be mad as outlined above. -- - Date of acceptance: _....__ ------ Authorized Signature: