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1041 NE 93 St (3)Architect Contractor or Builder_ Legal Lot II BI. Description BUILDING ❑ DATE 195 ELECTRICAL ❑ PERMIT N° 1'6005 Contractor's PLUMBING [] License No ROOFING ❑ Work to be performed under this Permit Owner of Building Address of Bui.lding 1,/ CONTRACTOR OR BUILDER MIAMI SHORES ViLLAEBE F"L®RO®A Subdi- vision Value of Project $ Amt. of Permit $ This permit is granted to the contractor or builder named above to cons.:ruct the building or to install the equipment or device described in the application bereior in strict compliance with all ordinances pertaining thereto and with tl-,e understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and apt roved by the proper municipal authorities. This Permit may be revoked at any time ii the work is not done in compliance with such ordinances or if the plans :,re changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assums the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work dor.r by his agents, servants or employees. Signed: i i BY. INSPECTOR In consideration of the issuance to me of this permit I agree to perforn, 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, servant or employee. BY AUTHORITY Permit No. Amount of Permit $_ ge Size Septic Tank_. - _ .- Nature of Water Supply. City—Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOlt PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted . for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of .Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. / No /6 ] Street dv e Owner's Name and Address Registered Architect and /or Engi . � a _ �- , Employing Plumber's Name ___ _ ,-4 - No._ , . -_ _ _ Street - - 1 4) & ? .. gi% �j a._- . . / s > __ _ Location and Legal Description Lot_.__._ _ .1 Block___._ ._ Subdivision__ fy � Street and Number where work is to be performed— No..__4 -. --L._-_.._____ Street-. & 6a y,- �, perforate State work to be perforate and purpose of building (By Floors)_._ --- ....... New Building. .. Remodeling Adiition . Repairs. ..._.._ .. /Type of Tank_ _ '�� (_ g Feet of Drain Tile _. ' / <� 4 -a w� �t. Feet of Tank or Drain Field from Well t —Well _.Size of Soakage Pit. Plumbing Inspec The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employs of labo under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has co plied with the provisions thereof, and will require similar compliance f rom all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for in mention on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such nub- contractors, on work to be performed under this permit, as art licensed by Miami Shores Village. ( Signed )_,l_.ir Date Capacity Gals. 3 No. of Stories STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appears to me well known, and who, being by me first duly sworn, upon oath &> se os and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tau therein by him stated are true. My Commission Expires Notary Public, State of Florida OT A r e- inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or Lill m e rials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA• TORIES SINKS SLOP SINKS LAJNDRY 1'U88 URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE! Comm. LIST -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. CHECK n Permit No. Amount of Permit $_ ge Size Septic Tank_. - _ .- Nature of Water Supply. City—Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOlt PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted . for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of .Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. / No /6 ] Street dv e Owner's Name and Address Registered Architect and /or Engi . � a _ �- , Employing Plumber's Name ___ _ ,-4 - No._ , . -_ _ _ Street - - 1 4) & ? .. gi% �j a._- . . / s > __ _ Location and Legal Description Lot_.__._ _ .1 Block___._ ._ Subdivision__ fy � Street and Number where work is to be performed— No..__4 -. --L._-_.._____ Street-. & 6a y,- �, perforate State work to be perforate and purpose of building (By Floors)_._ --- ....... New Building. .. Remodeling Adiition . Repairs. ..._.._ .. /Type of Tank_ _ '�� (_ g Feet of Drain Tile _. ' / <� 4 -a w� �t. Feet of Tank or Drain Field from Well t —Well _.Size of Soakage Pit. Plumbing Inspec The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employs of labo under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has co plied with the provisions thereof, and will require similar compliance f rom all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for in mention on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such nub- contractors, on work to be performed under this permit, as art licensed by Miami Shores Village. ( Signed )_,l_.ir Date Capacity Gals. 3 No. of Stories STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appears to me well known, and who, being by me first duly sworn, upon oath &> se os and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tau therein by him stated are true. My Commission Expires Notary Public, State of Florida OT A r e- inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or Lill m e rials and /or workmanship. Permit No 720<r 6VHAMI SHORES VILR,AG PLUMBING INSPECTION DEPARTMENT APPLICATION FOIL PLUMBING °" n•.MIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall he complied with, whether herein specified or not. A copy of approved plans and specifications must he kept at building during progress of work. Owner's Name and Address C r.9 ne C o n s t , C O -- --- -• - __ - No.__- 1041 Street Registered Architect and /or Engineer____-_.. - -- -------------_-_---... ____- __.___--- Employing Plumber's ______�it: r— _re .... No.-- _--- _-- _ - - - -- Street_---- - Location and Legal Description Lot_- -Ez._ Lot_ 10;_ E2 Lot �] 1 Subdivision Hamilton Terrace Street and Number where work is to be performed- No._.-________ 10 L 1®- __-____ - -_- Street_ N0 M i a m i Avenue State work to be performed and purpose of building (By Floors)_______ New Building X Remodeling_ Addition____ Repairs Size Septic Tank 700 gal Type of Tank___ . !' O a$ t concrete Feet of Drain Tile_ )2 9 block i . Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well - __._ -.Size of Soakage Pit Amount of Permit $ -- - - - - -- — - - -- (Si _ --��� (Signed). Date Jan. 6, 1960 Capacity Gals. 700 X31, No. of Stories. NIT, 93 st Plumbing Inspector. The undersigned applicant for this building permit does hereby certi Ey that he understands and accepss'his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Flori a'Percnanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such suu- contractors, on . ork to be performed under this permit, as are licensed by Miami Shores Village. Master Plu er. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts thereiL, by hits stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TIIBB URINALS CATCH BASIN FLOOR DRAIN DRINK NG FOUNT •NS TOTAL FI %TORES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIOT - CHUCK Permit No 720<r 6VHAMI SHORES VILR,AG PLUMBING INSPECTION DEPARTMENT APPLICATION FOIL PLUMBING °" n•.MIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall he complied with, whether herein specified or not. A copy of approved plans and specifications must he kept at building during progress of work. Owner's Name and Address C r.9 ne C o n s t , C O -- --- -• - __ - No.__- 1041 Street Registered Architect and /or Engineer____-_.. - -- -------------_-_---... ____- __.___--- Employing Plumber's ______�it: r— _re .... No.-- _--- _-- _ - - - -- Street_---- - Location and Legal Description Lot_- -Ez._ Lot_ 10;_ E2 Lot �] 1 Subdivision Hamilton Terrace Street and Number where work is to be performed- No._.-________ 10 L 1®- __-____ - -_- Street_ N0 M i a m i Avenue State work to be performed and purpose of building (By Floors)_______ New Building X Remodeling_ Addition____ Repairs Size Septic Tank 700 gal Type of Tank___ . !' O a$ t concrete Feet of Drain Tile_ )2 9 block i . Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well - __._ -.Size of Soakage Pit Amount of Permit $ -- - - - - -- — - - -- (Si _ --��� (Signed). Date Jan. 6, 1960 Capacity Gals. 700 X31, No. of Stories. NIT, 93 st Plumbing Inspector. The undersigned applicant for this building permit does hereby certi Ey that he understands and accepss'his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Flori a'Percnanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such suu- contractors, on . ork to be performed under this permit, as are licensed by Miami Shores Village. Master Plu er. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts thereiL, by hits stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL ❑ PERMIT N? 15188 Contractor's PLUMBING ❑ License No ROOFING ❑ Work to be performed under this Permit Owner of t Building Architect Contractor or Builder Legal Description Address of Building Lot BI. Subdi- vision.' Value of Project $ This permit is granted to the contractor or builder named above to const: uct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining` thereto and with tilt understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans a) e changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings, or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. F. Signed: BY Amt. of Permit $ INSPECTOR 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, m :rself, my agent, servant or employee. CONTRACTOR OR BUILDER � 13Y AUTHORITY Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made m compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or E Employing Plumber's Name Location and Legal Description Lot -_IL. ll . 1� Bloch__ - . Street and Number where work is to be performed —No. 1 � L State work to be performed and purpose of building (By Floors) 1 /(z New Building Amount of Permit $_ STATE OF FLORIDA, ss. COUNTY OF DADE. ineer Mg < :; y 6 SHORES VIILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FCIR PLUMBING PERMIT No Street a e Size Septic Tank Type of Tank_.- Feet of Drain Tile ...... __ -- l ®ist. Feet of Tank or Derain Field from Well Nature of Water Suppl : Ctty Well O _ _. Size of Soakage Pit. - -__. —• _ (Signed)__ (Signed) Date Remodeling _ Ad$tion_ Repairs_. No. of Stories Capacity Gals. Plumbing I peetor. The undersigned applicant for this building permit does hereby certify that a understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as art licensed by Miami Shores Village. � D Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath dI poses and says that he is the of the above described construction, that he has carefully read the Foregoing application, and that he did sign the same, and that all fay therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or haul materials an,workmanship. CLOSETS BATH TueS SHOWERS LAVA. TORIES SINKS SLOP SINKS L/.UNDRY rues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' Ns 7/ G "" -1 TOTAL FIIITUREI CONTR. LIST O �l I , SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP DEEP NILL SPRKLR. SYSTEM $W IM' POOL P47,6' i e � - 4 _.' J v�J C LIBT CHECK .1 Q H HE EATEER J // a. C, , 5 0 Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made m compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or E Employing Plumber's Name Location and Legal Description Lot -_IL. ll . 1� Bloch__ - . Street and Number where work is to be performed —No. 1 � L State work to be performed and purpose of building (By Floors) 1 /(z New Building Amount of Permit $_ STATE OF FLORIDA, ss. COUNTY OF DADE. ineer Mg < :; y 6 SHORES VIILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FCIR PLUMBING PERMIT No Street a e Size Septic Tank Type of Tank_.- Feet of Drain Tile ...... __ -- l ®ist. Feet of Tank or Derain Field from Well Nature of Water Suppl : Ctty Well O _ _. Size of Soakage Pit. - -__. —• _ (Signed)__ (Signed) Date Remodeling _ Ad$tion_ Repairs_. No. of Stories Capacity Gals. Plumbing I peetor. The undersigned applicant for this building permit does hereby certify that a understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as art licensed by Miami Shores Village. � D Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath dI poses and says that he is the of the above described construction, that he has carefully read the Foregoing application, and that he did sign the same, and that all fay therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or haul materials an,workmanship. ?'? 7 °I • Date Legal Description Elf Owner/L essee / Tenant C. t I A S [J E Owner's Address IO 4 I " 2- 9 3 S T Contracting Co. • S ? o I` S6 J-1 ( Qualifier 1D8n 0 Imo•.. SS# % Phone 3o5 (053-- Sep State #C accaci�3 Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL /, WORK DESCRIPTION S 'T 1 I CC U CR) G1 i /1 Square Ft. Estimated Cost (value) '(7/7 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all Laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOL: ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be d.. - in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the <<bove -named contractor to do the w' ° ated. - lc/ r 77 7<it •• ! ture of ' . act.. or Owner- Builder Signature of owner and/or Condo President Date Si Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address Ic)q( e 9 3 S Tax Folio F \ PO, O P nY FICIAL NOTARY SEAL <. KAREN NEICE 21� COMMISSION NUMBER < CC405983 COMMISSION EXP. 0F F r o ,• EPT 8 1998 Municipal # RADON C.C.F. Address Address Address APPROVED: Zoning Building Mechanical Plumbing Historically Designated: Yes No Master Permit # 93 1 / t / Phone 7305 - ) b3O Address 3D q k ( it) r O ST L). 4 3 Competency # Ins. Co. 644£ (t) fvl SUB 0 MECHANICAL ROOFING PAVING FENCE SIGN -/7 -98 Notary as to Contractor or Owner - Builder Date My Commission Expires: Pt/6, Karen Neice ,., IA Commission # CC 765999 ,a iiii v . Expires SEP, 8, 2002 BONDED THRU 9 OF rr` ATLANTIC BONDING CO., INC. NOTARY BOND Electrical TOTAL DUE Date Engineering ■•v■••• ■.•ri•.Y■ ■. •• ��•Yr Customer Agrees: g Sears assumes the customer's existing facilities.are up to code and can accommodate a standard installation. it additional work is required to meet this ;tens, it will be the customer's responsibility; Any additional cha II be quoted and approved prior to the start of Ole job. Sears Installation Warranty: IN ADDITION TO ANY WARRANTY INTENDED TO YOU ON THE SEARS MERCHANDISE INVOLVED, WHICH WARRANTY BECOMES EFFECTIVE THE DATE THE MERCHANDISE IS INSTALLED, SHOULD THE WORKMANSHIP OF ANY SEARS ARRANGED INSTALLATION PROVE FAULTY WITHIN ONE YIAR, SEARS WILL, UPON NOTICE FROM YOU, CAUSE SUCH FAULTS TO BE CORRECTED AT NO ADDI. TIONAL COST TO YOU. ADDITIONAL TERMS AND CONDITIONS ARE ;STATED ON REVERSE SIDE • 00. Total Amount of Sale $ Customer_Signature: X Sales Associate: X Approx. Start Date: Approx, Completion Date Notice to California Residents Only: IF THIS SALE IS IN EXCESS OF $500, "YOU THE OWNER OR TENANT -IAVE THE RIGHT TO REQUIRE THE CONTRACTOR TO HAVE A PERFORMANCE AND PA'(MENT BOND OR REFUNDING CONTROL." BY SEARS, ROEBUCK & CO. CALIF.LIC.25455 WA.UC.SE- AR•SR- 6372N NM LIC,2237 QR BLDS.REG.1081 NV LIC.5543 HI LIC.4285 AZ LIC.079952, 079951, 080304, 013509, 013511 UT LIC.22•228408.5501 Notice to Maryland Residents Only: M.H.I.c.#:121 NOTICE: ALL HOME IMPROVEMENT CONTRACTORS AND SUBCONTRACTORS MUST BE UCENSED BY THE MARYLAND HOME IMPROVEMENT COMMISSION. INQUIRIES REGARDING A CONTRACTOR OR SUBCONTRACTOR SHOULD BE DIRECTED TO THE HOME IMPROVEMENT COMMISSION, TELEPHONE (410) 333.6309. Notice to New York Residents Only: IN ADDITION TO ANY RIGHT TO REVOKE AN OFFER, YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATEOF THE. TRANSACTION: Contractor: _� . Address: Telephone: r . S - 5 - fl' 6bo Special Instructions: x _t•. .. •t>, 21712 -010 (Rev. 895) Sean Fame Management TA WARF : AA REST A?. ' T n r License o ' ` 32 1 acknowledge receipt of merchandise endror services In the total amount ;hewn hereon and agree thel this credit purchase Is subject to my Agreement with the credit card Issuer Identified hereon, If this lea a tdlt purchase under my SearsChergo Agreement, then I grant Sears a Security Interest in the merchandise described hr reon, unless prohIbited by law, until paid In tun. Purchased By It the sale Is On Easy Payment Modernizing Credit Plan (EP /MCP). or Sears Home Imprewetttent Plan (SHIP), use applicable Contract form. 1•Installur Copy 'flN RNIIHrl TRtt� '1•rL4 LYV"7..'L•` `2: 1 111111111111111101111111111 11 s PC C t !a. a .r; ?n- EI.,AS EDE r-: M� ! LL3!?: LL NE 53RD L DRY : F mo ? t r ±;X Ai .i - INSTALLED ,0;) w; C rPI TW : FEARS ACCIRINT. 07;2819C !TAR9 Ttla. 4F.0; • tL i AA? • P P :i!r DE rt �ri,i •rz: : Wf1N-