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PL-19-2450
Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue x:11/01/2019 Location Address Parcel Number 1020 NE 107TH ST, Miami Shores, FL 33161 1122320280720 Contacts Permit NO.: Pt -10-19-2450 Permit Type: Plumbing - Residential Work Classificotion-:.Septlic Permit Status. Approved Expiration: 04/29/2020 --------------- MARCO & SONIA ZEPEDA Owner A Aaron Super Rooter Applicant 1020 NE 107 ST, MIAMI, FL 331617355 Teres Edwards Other: 3058915587 35 Ct, Miramar, FL 33023 Business: 3059448886 statewidesepticinc@gmail.com Mobile: 7542041564 A AARON SUPER ROOTER Contractor JOHN TUFFY 6022 SW 35 CT, MIRAMAR, FL 33023 Business: 3059448886 mjulie37@aol.com Description: REPLACE BROKEN SEPTIC TANK ONLY 900 Valuation: Inspection Requests: p ( $ 4,000.00 GALLONS) r5-762-4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $2.40 DBPR Fee $2.10 DCA Fee $2.00 Education Surcharge $0.80 Permit Fee $90.00 Scanning Fee $9.00 Technology Fee $3.50 Total: $159.80 Payments Date Paid Amt Paid Total Fees $159.80 Credit Card 10/30/2019 $50.00 Check # 9161 11/01/2019 $109.80 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS, AFFIDAVIT: Irtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws ' regula construction apd oning. Futhermore, I authorize the above named contractor to do the work stated. / Applicant / Contractor / Agent Date 01, 2019 Page 2 of 2 Miami Shores Village IR�'l� C 3 0 20 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No. L-Z4S U PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION RENEWAL [PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I O `LO N E7 1(0-7 <ST City: Miami Shores Count : Miami Dade Zi' Folio/Parcel#:_ �� -223 Z- 02- -0 Zp Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: BFE: OWNER: Name (Fee Simple Titleholder): M W C.0 Zeoedo) Phone#: Address: 102-0 N E- 10-7 S7reP-+ 1 G i NO to"' FFE City: �A 1 -C H,2 0 Tenant/Lessee Name: -e -S —State:-.,rL Zip: z316 Phone#: Email: 30-57CONTRACTOR: Company Name:(�ln4i(7Qr' �� 01 Phone#: Address: X00.7') —�— Z �- 5W 3S Cfi City: t-Akffi�r^-�P - State: �-- Zip: Vit 23 Qualifier Name: - o h`' T.� Phone#: e.. State Certification or Registration #: 5F, Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 9"0 0,0 Square/Linear Footage of Work: Ng Type of Work: ❑ Addition ❑ Alteration ❑ New IV Vy Repair/Replace ❑Demolition Description of Work: ,• q w e>Y"'Z jC.-' %0 A a Specify color of color thru tile: Submittal Fee $ ✓ o )-4 Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ L-�;W TOTAL FEE NOW DUE $ w- U s Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Zip Mortgage Lender's Address A A5 City State — Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commenq ment must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. IntF absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. //'' f Signature MY� �C_ t}—� Sign OWNER or AGEN CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this l S day of Q C+ 20 1 C by A1C— day of 0 C;A— 20 t9 by SQ"'q redo+ who is personally known to eTjlb 1 I\ who is personally known to v v me or who has produced �7I as me or who has produced m as identification and who did take an oath. NOTARY PUBLIC: identification and who did take an oath. NOTARY PUBLIC: Sign: Sign: �:;tiOUttF 2p19 �T v Print: V Z Print: ubuo t'•:: 8, r1 Seal:��IfFS� Seal: * r' rr y�8l �', �'1itnr Mart too Z :*sss*****rsss*rs*'� i��******r***ss*r*******s****s*4*�****s******as*�*s**�*�*�*r�*•***s**r**�*******sss*■rs APPROVED BY ki r �g Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk STj-_V__,QFs FLORIDA DOARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Marco & Sonia Zepeda PROPERTY ADDRESS: 1020 NE 107 St Miami, FL 33161 LOT: 1 BLOCK: 5 SUBDIVISION: Miami Shores Estates PROPERTY ID #: 11-2232-028-0720 PERMIT #: 13 -SC -1992656 APPLICATION #: AP1434990 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1265146 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS ' OF SECTION 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ] GALLONS-/ GPD NEW Septic tank CAPACITY A [ 0 ] GALLONS / GPD CAPACITY N I 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 300 ] SQUARE FEET Existina Drainfield to REM SYSTEM R [ 0 ] SQUARE FEET SYSTEM A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [X] BED [ ] N F LOCATION OF BENCHMARK: FFE 11.9' NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 25.20][ INCHES FT ][ABOVE �BENCHMARK/REFERENCE POINT L BELOW E BOTTOM OF DRAINFIELD TO BE [ 73.20][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 48.00] INCHES 0 1.- Install a NEW 900 gal. septic tank with and approved filter T 2.- The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s. 64E -6.013(3)(f) FAC. H 3.- This permit includes the abandonment of t existing septic tank. E THIS PERMIT IS FOR TANK REPLACE T ONLY, IT IS NOT FO Y ADDITIONS. R The system is sized for 3 bedr ms a ma im ccupancy of 6 persons (2 per bedroom), for a t a ed flo SPECIFICATIONS BY: n S t ✓ TITLE: e0/03o Q 'X) vAPPROVED BY: TITLE: ENGINEERING SPECI�N, e /aa saint Dade CHD DATE ISSUED: 9 EXPIRATION DATE: 01/01/2020 DH 4016, 08/0 Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1,4 AP1434990 SE72141.44 ST ,QF FLORIDA DEIPARTN NT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Marco & Sonia Zepeda PROPERTY ADDRESS: 1020 NE 107 St Miami, FL 33161 LOT: 1 BLOCK: 5 SUBDIVISION: Miami Shores Estates PROPERTY ID #: 11-2232-028-0720 PERMIT # : 13 -SC -1992656 APPLICATION #: AP1434990 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1265146 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] (OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T ( 900 ] GALLONS _ / GPD NEW Septic tank CAPACITY A [ 0 ] GALLONS / GPD CAPACITY N ( 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K ( ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D ( 300 ) SQUARE FEET Existing Drainfield to REM SYSTEM R ( 0 ] SQUARE FEET SYSTEM A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ) I CONFIGURATION: [ ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: FFE 11.9' NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 25.20][ INCHES FT ][ABOVE BELOW �� BENCHMARK/REFERENCE POINT L E BOTTOM OF DRAINFIELD TO BE ( 73.20][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 48.00] INCHES 0 1.- Install a NEW 900 gal. septic tank with and approved filter T 2.- The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s. 64E-6.013(3)(0 FAC. H 3.- This permit includes the abandonment of t existing septic tank. / E THIS PERMIT IS FOR TANK REPLACE T ONLY, IT IS NOT FO Y ADDITIONS. / 2r R The system is sized for 3 bedr ms a ma im ccupancy of 6 persons (2 per bedroom), for a total 1at no of SPECIFICATIONS BY: n S t TITLE- �hlm APPROVED BY: DATE ISSUED: 0/03)2019 TITLE: ENGINEERING SPECIALIST II DH 4016, 08/09r(Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC V 1 1.4 AP1.434990 SE12141. Dade CHD 01/01/2020 Page 1 of 3 5582 N.W. 7th STREET, SUITE 202 MIAMI, FLORIDA 39126 TELEPHONE: (305) 264.2660 FAX:(305)264.0229 �. SURVEY 1� LAND SURVEYORS SHEET NO. � of L. SOUNDARY S' RVE 20 ' T- — 'G•e �^ C/C.' � 019 BY—, � 1 M �z C) W g LU Q cc !n (Jf ill , J 41 yrs OF •,21�� ! B,Efi�l. ,l (2 0 SM N.W. 7th STREET, SUITE 202 MIAMI, FLORIDA 33126 u�# SURVEY No. 1-0009121 TELEPHONE: (305) 264-2660 �y FAX: 1305y 284• V'w DRAWN BY:^4 LAND SURVE ORS SHEET NO. F �- Survey of Lot: 1 Block: 5 Subdivision: MIAMI SHORES ESTATES According to the Plat thereof as recorded in the Plat Book No. 47 at Page No. 58 of the public records of MIAMI-DADE County, Florida. Property Address: 1020 NE 107 ST, MIAMI SHORES, FL 33161 For: MARCO ZEPEDA LOCATION SKETCH 5 10 I J .'w L-L.; ...........•I n Scale 1 " = /W_5 4 1 I+) I V, I r i U' 1 o 10III , `�yi s.. II' SS 11 _a � � i�•J• �• , IQf�t 1 6% CQIJ1`!j— Y; UI I •!` I of I /) .1:• (it Gl :j U A= ARC. F.N.D. - FOUND NAIL S DISK P.A.C. - POINT OF REVERSE A/O. AIR CONDITIONER PAD. FR. - FRAME. CURVE. A.E. = ANCHOR EASEMENT. FT.. FEET_ PROP. COR. - PROPERTY AIR = ALUMINUM ROOF. FNIP. = FEDERAL NATIONAL CORNER. AIS . ALUMINUM SHED. INSURANCE PROGRAM P B. - PLAT BOOK. ASPH. - ASPHALT. F.N. = FOUND NAIL. PG. - PAGE. B.C. = BLOCK CORNER. H. - HIGH (HEIGHT). PWY - PARKWAY. BLDG. - BUILDING. IN. & EG. = INGRESS AND EGRESS PRM - PERMANENT REFERENCE B.M. - BENCH MARK, EASEMENT. MONUMENT. B.O.S. - BASIS OF BEARINGS. L.P. - LIGHT POLE. D.L.S. =PROFESSIONAL LANDC. =CALCULATED. LF.E. - LOWEST FLOOR SURVEYOR. C.B.-CATCH BASIN. C.B.S.. CONCRETE BLOCK ELEVATION. L.M E. > LAKE MAINTENANCE R..=RECORDED DISTANCE STRUCTURE. EASEMENT. RR . RAILROAD - RES. - RESIDENCE. CSW - CONCRETE BLOCK WALL ' - MINUTES. R/W < RIGHT• WAY. ' CH. - CHORD DISTANCE. CH. S. - CHORD SEARING, M. - MEASURED DISTANCE. MON.: MONUMENT. qAp, =RADIUS OR RADIAL. CL .CLEAR. M+ . MANHOLE R. P. - RADIUS POINT. C.LF. = CHAIN LINK FENCE. MIL. = MONUMENT LINE. RGE =RANGE. SEC. =SECTION. C.M.E. CANAL MAINTENANCE N.A.P. - NOT A PART OF. STY.. STORY. EASEMENT, CONIC.. CONCRETE. NGVO<NATIONAL GEODETIC SWK..SIDEWALK. C.P. = CONC, PORCH. VERTICAL DATUM N. • NORTH. S.1 P. =SET IRON PIPE L.S. r60aa C.S. = CONCRETE SLAB. N.T.S. - NOT TO SCALE. S.. SOUTH D.E. = DRAINAGE EASEMENT i • NO. - NUMBER. SND -SET NAIL & DISK LB r6osa. D.M.E.= DRAINAGE MAINTENANCE O/S..OFFSET. SR - SCREENED PORCH. EASEMENT. OH. - OVERHEAD. '.SECONDS. DRIVE. =DRIVEWAY. O.H.L.= OVERHEAD UTILITY LINES T. - TANGENT. TWP.. TOWNSHIP. O = DEGREES. E. =EAST. OVH. = OVERHANG. O.R.B. - OFFICIAL RECORD BOOK. U. E. = UTILITY EASEMENT. E.T.P. - ELECTRIC TRANSFORMER PVMT. - PAVEMENT. UTIL. - UTILITY. PAD. PL .PLANTER' U.P. =UTILITY POLE. ELEV. :ELEVATION. PA.. - PROPERTY UNE. W.M. -WATER METER. ENCR. =ENCROACHMENT. P.C.C. - POINT OF COMPOUND W.F.: WOOD FENCE. F.H. - FIRE HYDRANT, CURVE. W.S. - WOOD SHED'. F.I.P.. FOUND IRON PIPE. P.C. = POINT OF CURVE. a CENTRAL ANGLE. F.I,R. =FOUND IRON ROD. PT. - POINT OF TANGENCY. W. - WEST.. F.F,E. - FINISHED FLOOR POC. - POINT OF COINNENCEMENT �• K =CENTER UNE. ELEVATION. POB. - POINT OF BEGINNING. Z_ - ANGLE. LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY): EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO OETERM NE RECORDED INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY, THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD. LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY. IPQI IN[7ARY til IMMY 4/FAmQ A OA mRgetr_ nutufin 4 rQACW- PL.ACt-• to Pa a� a� ¢3�Zr2/2001 T_ 1. O M I `� a• LEGEND TYPICAL WOOD FENCE. CHAIN LINK FENCE. 0.00 x C B.S. WALL (C.B.W.) al EXISTING ELEVATIONS PROPOSED ELEVATIONS AURVEYORS% NOTES' :000:0 • • • • • � �) IF S4i0WN, BEAgINGS ARE REFERRED TO AN ASSOMEDMERIDIAN, BY WJj T • • IN THE DESCRIPTION OFiAE PREIPERTY JF IST• • • THEN BEARINGS ARE VgWCQTO COUNT4f• • • • 0 0 0 0 1 TOWNSHIP MAPS. 0 •0000• • • 000061 2}. IF SHOWN, ELEVATIONS 1PJ REFERRED JO 0 • I B.Mr • � • • 0 -----+Y_ •• •0 0000 OF N : O.V.D OF 1829 - 060600 6000 00.00 3). THIS IS A SPECIFIC WO04SURYEY. • 66080 • • t • • • 4) THE CLOSURE IN TH! dd"IRY SURVEY IS 0 • ABOVE 1:7500 FT. • • 0 • 0 • • 0 0 • I HEREBY CERTIFY. TH; THIS •BOUNDARM9 RAE• OF THE PROPERTY DESCRIBEDIKEREON, IGS 0 RECENTLY SURVEYED MppM UNDEF.MY 0 0 i 0 0.• SUPERVISION. COMPLIES T MINIM+M • • TECHNICAL STANDARDS AS SET FORTH BY • • + • THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61G17.6, FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027, FLORIDA STATUTES. / BY. J4� I► !WP OQAi' ISARRA (DATE OF FIELD WOAKjj PROFESSIONAL LAND SURVEYOR NO. 2✓�34- STATE OF FLORIDA (VAUD COPIES OF THIS SUR EY WiLI BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR) STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR CONSTRUCTION PERMIT Permit Application Number, V..'' -4Sca---------------------------PART II - SITEPLAN--------------------(-l -A --- Scale* le' Farh hlnnli - ♦A s__. ■�■■■■�■ oil ■■■■■■�1 '■rr■i�/11 ■■■�■■ri■ ■■■■■■i�■ , V Gf � �n r G: �K, _ �-�.- 1. �,•,}1 :..... .... �. l I'� /y •• • ••Y• • � —Rei...... ■■I■ ' �• • ■ 4 Site Plan submitte y:�.��• W •.�%�li • • 900.0•• 0 0 OMNI • • • 0.0 6 Plan Approv Courit "Ith DePertrnert • 00000 By ... .. .... 0000•• BE APPROVED BY THE COUNTY HEALTH DEPAR:Wt 0• 99.996 ALL CHANGES MUST • may 001 be used) Incarpasted: 64E.8,001.FAC ; 6 • ■t■ ■■■■■■■■■n ■ :0 • • • • . • DH 4015, 08/09 (ObS016105 previous editions whir, � /■■©It■■■■■■0 mom ■■:1 j (Stock Number. 5744-002-4015.8) • • • • Scanned by CamScanner V Gf � �n r G: �K, _ �-�.- 1. �,•,}1 :..... .... �. l I'� /y •• • ••Y• • • Z �f ' �• • •00000 • 4 Site Plan submitte y:�.��• W •.�%�li • • 900.0•• 0 0 Not Approved • • • 0.0 6 Plan Approv Courit "Ith DePertrnert • 00000 By ... .. .... 0000•• BE APPROVED BY THE COUNTY HEALTH DEPAR:Wt 0• 99.996 ALL CHANGES MUST • may 001 be used) Incarpasted: 64E.8,001.FAC ; 6 • 'Page 2 0(4 • 6 :0 • • • • . • DH 4015, 08/09 (ObS016105 previous editions whir, j (Stock Number. 5744-002-4015.8) • • • • Scanned by CamScanner