27963 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OFCUPERTINO .VINkx-eLrurIU A. PERMIT NO.
APPLICATION/PERMIT PLUMBING-MECHANICAL. 27963
BUILDING DIVISION ]BALDING PROJECTIDENTIFICATION
DUILD.aI((NQ wDDRE55� SANITARY NO. APPI.ICATIONSUBMITTALDATE
OT ( UNIT# LOTH I.�-� rAc
O NERSNAME: PHONE: _ CO RACTOR'S NAME r11 CNO
El
�J iTnc ��/�/� NIC CONTROL#
r R HITECI'/ENGINEER:` I LI/ G '�/� �D S' �N{L
CONTACT: PHONE: lI QTY. ELECTRIC PERMIT 6E BUILDING PERMIT INFO
ck() LDG E PLUMB MEC
PERMLTISSUANCE
LICENSED CONTRACTOR'S DECLARATION APPLIANCES-RESIDENTIAL JOB DESCRIPTION
pyz I herebyaffinn that l amlicemed under provisionsof Chapter9(commencingwilh
H00 Section 7")of Division 3 of the Bmincss and Professions Code,and my license is in PANPIR
Fsta�F. full force an I effect. C
¢eduj I.icenxe F Lic.p�J�6* I�x ��rsL UPTO200AMPS
vFi=y Date Cantrecmr1 Y-r 201-1000 AMPS
Z Oy,Z, ARCHITECTS DECLARATION OVER IOOOAMPS SQ.FT.FLOOR AREA $/SQ.FT,
OZ-0 I m ns hell usedsspublic reeords.
ID SIGNS ELECTRICAL
ir
CMee¢ Li¢n rn ss ^e OWNER-BUILDER DECLARATION SPECIALCIRCUTOMISC.
�OyF I herchy affirm that 1 am exempt from the Contractors License law for the
W 3 LL mQ, following reason.(Section 7031.5,Business and Professions Code:Any city or county TEMP.METER OR POLE MST.
�LLJw , which or,dms a permit to connrvd,.Iter,improve,demolish,or repair any structure
Y7 pnorm its issuance,also requires the applicant for such pemduo file a signed statement POWER DEVICES
C p pK mat he is licensed pursuant to she provisions of the Comm uses License Law(Chapter
�aoLL 9(commencing with Section 7000)of Division 3 ofthe Business and Professions Code) SWIMMWG POOL ELECTRIC VALUATION
or 7031.5 by any aNicatm fthe basis Permit
subeasegedplicarion. civil violation of UTLETS-SWITCHES-FIXTURES �� /U/S
F-ZQ Section any applicant for permit suhjecathe epplicantmacivil penalty of tom{/
C$ not mea thw five hundred dollars($SM).
CS ❑ I,asownerollhepropeny,ormycmployeeswim wagesestheirsolemmpensmom, NEW RESIDENTIAL ELECTR _SQ.FT, STORIES TYPE CONSTRUCTION
will darhe work,and the somemmisnm inandedomffered for We(Sec.7094,Business
and Professions Costs The Contractors License Law does not apply to an owner of
propmywhobuildsorimproves memon.aad whodow such work himeelforthrough his OCC GROUP RFS.UNITS
ownemployces,provided that such improvements are notimendedorofkedfornale.If,
however,the building or improvement is sold within one yew of completion,the owner- 0.,
builder will have the burden of proving that he did not build or improve for purpose of
sale.).
❑ I,mownerofthepmprany,amexclusivefywnimmingwithlieeraWcenwworsm -
- MB
QTY. ING PER. FEE FLOOD ZONE APN
consumer the project(Sec.7(94,Business and Professions Cade)'Unc Contractor's
L.imnselawdce nmapplymanownerofpmp Mwhobuildsorimpmvenmeree , nd PERMIT SSU N
who nmtmmsfor suchpmjeds with.ronnacams)licensed pursuummmo Coutun, s
License Law. ALTER=DRAIN&VEN sW E A) PEE SUMMARY
❑ 1 am exempt under Sec. ,B A P C for this ma n BACK FLOW PROTECT DEVI UT DE FEES
ANITARY YN
Owner Dam RECEIPT#
INS-FL v,R P,ARPA,COND`
WORKMAN aO nifL SATIONmofcon ntto. RATION SCHOOf.I'AX Y N
❑Workers
Co affum mmlbotace .carolof comennosf(Seaue,or.,Lab C.)ateofwhich FIXTUR P RLEIPI'p
Workere'Compenrutimn lnsumnce oracenified copy mereof(Sec.3900,Lab CJ which PARK FEE N
Case. I ^ efu e n LG I GAS-EA.SYS ! I 4 BUIL IN -M
Find # SIONM
Company 1 aYI GAS-EA.SYSTEM-OVF. A)� PLANCHF.CK FT:
❑ Certifie np by furnished. l
❑ CertiR copy is Blydw I inspection division
GREASFANDUSTRI-WASTE INT- R GRADING FEE
CERTIFICATE OF EXEMPTION PRO ORKERS' GREASETRAP SOILS FEE
COMPENSATION INSURANC
UHat,conn need sol be mmplmWif the permit is for m madreddollwa($109) SEWER-SANITARY-S RM EA.20117. ENERGY FEE
m I..)
124) %cLo
I ccs that in the pe for which his permit is issued,l shall WATER HEATER ENT/ELECIR
not map] Pcny I brace subject to she Workers' PAID
z Comp, tion a fCn em WATER SY EATING Dam Raciptp
APPIicIN
O NOTA TO A?P 1 ANT:If,iafmljtang this CodiD m of Exemption,you should NEWRFSI - IALPLMB. SQ.FT. TOTAL:
V] brace suom, Worker mpensation provision, fthe Labor Code,you must
Fa+ 1 forth ith comply withs previsions or this .is shall be deemed revokW. RPAID
iP,Z CONSTRUCTION LENDING AGENCY by affirm that them is a consnuctiun lending agency for the performance of LASV Owork fm which this permit is issued(Sec.3097,Civ.C.) TOTAL: EEonce.NameFEF.Leaders Address QT MECHANICALPERMIT FEEU 1 codify that I have readtis application and some that me above information isL FEEj- a roomm,I.grce uncemply with all city andeomaymdinurams.ndstate laws elad^gto PERMIT ISSUANCE r•f" � buildingeanstrucsion,and hereby authorize mpesentativesofmiscity menterupon theJ TION TAL) Zub.ce-mentioned property for inspection purpmsa. ALTER OR ADD TO MF,CH. /(We)agree to save,indemnify and keep hwmless the City of Cupertino against
liabilities,judgmc^ss,costs and eapeasm which may in any way accrue againstsaid City AIR HANDLING UNIT 8010,001 CFM)
rna^f thegranting of Nin permitAIR HANDLING UNIT(OVER 10,00(1 CFM)
ppbcanVCon am EXHAUST HOOD(W/DUCO `ikTV(�
HAZARDOUS MATERIALS DISCLOSURE HEATING UNIT(TO IW,000 BTU) Umc Re,i
Will the applicant or fume building occupant store^rhandle hazwdommaterial HEATING UNIT(OVER 100,000 BI'U)
as defined by me Cupertino Municipal Code.Chapter 9.12,and me Health and Safety
Coda,Section 25572(e)7
C]Yes C3 No VENTILATION FAN(SINGLE RESID)
ISSUANCE DATE
Will tbeepplicanmrfmurcbuilJingoccupam use equipmemordeviceswhichemit BOILER-COMP(3HP OR 100,000 BTU) g.$ p B p,
\a cendmus air com eademats as defined by the Be,Area Air Quality P Management BOILER-COMP(OVER IOO,000 BTU) P9 47
isnicl7
❑Yes ❑No NEWRESIDENTIALMECH. SQ.FT.
APR 201995
I have read the Safety
Code,
de,materials requiem 33 under Chapter understand
of the \\D"
Sys-
if
the wilding oras not cryendy have ow 25505at it
ymaimnd 34, lundemond that V�{� CITY Ur GUr
if the building does not cams w have a must
be r that o is my maponsiof a to notify the
occupant of the mquir<mems which must be met prior m issuance of a Certificate of
Occupancy.
Owner or authorized agent Dote ISSUED BY:
OFFMS-
0-11 - -C- ityof
10300 Torre Avenue
Cupertino,CA 95014
Cupertino Building Division
(408)777-3228
(408)777-3333 (fax)
February 10, 1996
r
Resident/Owner
10431 De Anza Blvd
Cupertino, CA 95014
RE: Permit# 27963, tenant improvement
Dear Permit Holder:
Our records show that the referenced permit has not been finaled by a City building
inspector. A permit is valid only six months from its last inspection date. If your permit
shows that the final inspection has been completed, please send a copy of the permit
along with this letter to: 10300 Torre Avenue, Cupertino, 95014, Attn: Building
• Department.
If your permit has not been finaled, please contact the Building Department by calling
(408) 777-3228 so that we may arrange to extend your permit and schedule a final
inspection.
In an effort to control the number of expired permits, the City of Cupertino requires a
response in ten working days from date of receipt of this letter. If we do not hear from
you, the City of Cupertino Building Department will have no recourse but to resolve your
permit as expired and discard the records.
Thank you for your assistance.
CITY OF CUPERTINO
0
R-nrod on Recyclatl Paaar
RECEIVED
Y
FEB 2 11996
• ' ®�" 10300 Torre Avenue
CORPORATE REAL ESTATE Cupertino,CA 95014
(� Cil.v nl'
Cupertino,ino, Building Division
(408)777-3228
(408)777-3333 (fax)
February 10, 1996
Resident/Owner
10431 De Anza Blvd
Cupertino, CA 95014
RE: Permit# 27963, tenant improvement j
Dear Permit Holder: u\
Our records show that the referenced permit has not been finaled by a City building
inspector. A permit is valid only six months from its last inspection date. If your permit
shows that the final inspection has been completed, please send a copy of the permit
along with this letter to: 10300 Torre Avenue, Cupertino, 95014, Attn: Building
• Department.
If your permit has not been finaled, please contact the Building Department by calling
(408) 777-3228 so that we may arrange to extend your permit and schedule a final
inspection.
In an effort to control the number of expired permits, the City of Cupertino requires a
response in ten working days from date of receipt of this letter. If we do not hear from
you, the City of Cupertino Building Department will have no recourse but to resolve your
permit as expired.and discard the records.
Thank you for your assistance.
CITY OF CUPERTINO
•
i'h.',P7 ni IdCCVRIon r pe'
FEB 2 1996
• CIIY or Gul'"t'U
BUILDING DWI-
February 27, 1996
Dave Scannell
City of Cupertino Building Department
10300 Torre Avenue
Cupertino, CA 95014
RE: Permit #27963, Tenant Improvements
Dear Dave:
We did obtain the final inspections needed to complete the final permit referenced in
your letter dated Feb 10th. I have attached copies for your records.
If you have further questions or concerns please contact me at (408) 974-8846.
• Thank you,
;? d
Kathy Morello
DDC, Project Manager
Apple Computer, Inc.
, IIryLiV )tL:�
•
Apple Computer,Inc
20525 Mariam Avenue
Cupertino,California 95014
(408)996-1010
TLX 171-576
CITY OF CUPERTINO" PERMU'No I1UILDING DIVISION `�b
2 7^^�
C�•BUILUINO PROJECT IDBM'IFICATION,,;�Y t}3 k7*k
tlUDINGADDRF
SANITARY NO, AI'PI.IGTION SUBMITTAL DA'
3 N LV;Z I — I U Q
O\ LRS NAME: ON ' CONTRACTOR'S NAME ,. UCNO:
U rE = rl.rcPN. T74- 9 :)�>4 0 1 Nro cDNTxoL« }
A��ttCI1ITF:CT/FIJOINIP'��� LIC NO: ADDRISS:
L�(DrbC7N1'K-I,Iw , :i . vi L ;I A _-ra,
Acl ❑ ° l=
IN§PEGTIONSG j` 8yDATE INsPEC INSPECTION RECORD ` ° 11BUD DING PeaMrr lNPoi.,'
BLDGPL
El' UMB wav
FOL+NDATION/PIERS/H.D.S. - �'T NOTE: ALL GRADING AND DRAINAGE ❑' 13 en
UFER GROUND - SHALL BE INSTALLED TO COMPLY WITH JOB DESCRIPDON
THE APPROVED PLANS AND CITY OF
PAD/SET BACK-CERT CUPERTINO STANDARDS. \\ l
GARAGE SLABS/PREGUNITE
POGRNOCONOhsi'UNTI rABOVERAs�adi4SICNEDk' INSPECTION SPECIAL INSPECTION DATE wsP.
UNDOGROUND/SLAB /J REQUIRED ❑
PLUMBING
ELECTRICAL '
DO NOT POUR RLOCWUNTM ABOVE HAS BEEN SIGNED
PLUMBING
MECHANICAL
ELECTRICAL
FRAMING VENTS
INSULATION
PLACE N SUBFLOOR UNTB.ABOVE HAS BEEN SIGNED
ROOF SHEATH/DIAPHRAM
PLUMBING
TUBS&SI'IOWER PAN
MECHANICAL
ELECTRICAL/POOL BOND 1,
(\•FRAMING/STAIRS/E.EGRESS
INSULATION/VENTILATION n /J
COVER NOORK;UNTB.ABOVH HAS BEEN SIGNED
EXTERIOR MEAR/HOLD DOWN
INTERIOR S EAR/HOLD DOWN r
1 SHEETROCK SHEETROCK SHEAR — '2ev4 L2 c
nl�AI44 V/
EXTERIOR L TH/W-SCREEN
SHOWER LAtH
NO TAPE OR PkAgftWUNTIL ABOVE HAS BEEN'SIGNED
SCRATCH COAT
SEW ER/WATER
TEMPORARY A PROVALS
BUILDING
ELECTRICAL
GAS
FINALS �•. '.
GAS TEST
GRADE
FIRE APPROVED FOR OCCUPANCY ❑ � ` 1
� p -
HANDICAP TO ARRANGE INSPECTION ISSUANCE`I�A'ti✓�
CALLAFTERNOONS(12:30 PM-4:00 PM) �1��((.
ELECTRICAL/ENERGY 252-4505 MONDAY TO FRIDAY 24 HOURS
PLUMBING/ENERGY ORE DRESS AND PERMIT#ARE NEEDED WHEN �pR INSPECTION. JOB AD- 20199$
r•MECI-IANICAL/ENERGY L PHONING. I \ter
BUILDING/ENERGY ATTENTION CONTRACTORS:
ELECTRICAL FINAL TEST NO PERSON(S)SHALL PERFORM WORK ON
THIS JOB SITE WITHOUT WORKER'S j
OCCUPANCY OF BUILDING IS NOT PE ED COMPENSATION INSURANCE. -
_
UNTIL BUILDING FINAL IS SIGNED BY BUILDING 1MPORTA N
'
1'
!PLEASE READ REVERSE SIDE BEFORE
INSPECTOR. I CALLING FOR FINAL INSPECTION!! IssueD BY:
APPLICANT'S POSTING COPY
.. .. ,. .i St � �t:• IA tk �1b1��
v
. :. ; �.. xl, I +c
t ,SantaClara.County i INSPECTION NOTICE
s CENTRAL.'FIRE PROTECTION DISTRICT
1 • 11'4700-Winchester Blvd. '+
� o L'OS' , CA 95030-1818 ;' i.'
.GATOSf;, D Annual-,Cycle
SERVICE r °SINCE'1947'1 %(408)3784010 FAX(408)3789342 '�: ,<' (1 0•Rein§pection - ` +•' +,w .
, +l3rn t,
`r y�Construction n� ,
T . ,:'. Q Final' Page I of %
Address Suite *+.. Oce. a Date
c ce,
>f paf /p• —�F ;n., ,•i. Doa?' Phone
r <ti
Load:,
A,
+' • ,. 7x k J
" Memo To: �/rv1 ;L)'`G h'U f /� / Ge!Jfr / �� Fram:l,��iN ` �/• `iy �w
ITEM# /9S-OS/s
/Atli
el
r •
�• j
f1
• � ti
� d
'i
•
ASAP 7M
nrr u,.nr.
.. - -_BL MBI!C,.-ME;C•'fflf[A PIi1tUIT NO. 27962
'CIT('OF CUPER'CINO„ v—.,, v,• , ,,,, . .,� rLDaDHNG-SIr:cHANfcAL �
HUILUINO DIVISION APIat.IG1T10N/E'ERMIT F777,., BUILDING PRUIECTIDBNTTPSCATION'-f.-
IiUIIDING ADDRESS: SANII'AK5'NU APPLICATION SUBMITTAL DAT
04' I UNIT LOT N ~� J
O 'HERS NAME: PHONE: _ CU CI ORE'S NA s
11 �F+ 1 NC9 74 CONTROLN
RCHITECfIFNGINEFR:` I LI 1111ADDRESS� �. J- 1 ❑
CONTACT: PHONE: - v (`rIYT,q� G' v _ �v�?r;•�'BUBAINO PERMIT.INFO♦'
`/ a -Nt ... T'+• SA
t1..~11 W^e's aei:r4+„•i- xLry_; E PLUMB ME
YY O o PERMIT ISSUANCE
LICENSED CONTRACTOR'S DECORATION APPLIAHCPS.RESIDENTIAL JOB DESCItIPIION
_yZ I hereby afEmrthat term littnreduMcrpovisimsof Chapter9(commcncing with
'00 Section 7000).(Divia on 3.f the Basins and Pofeuiona Coda and my]icon,is in � PANES
wp. fYll Tac[and cBc” r `
I=ZnUj Vttw Lic.X + `� �y1 gnG O 1000AM PS
0=y Date
ARCHITECTS
D --KYJ1 SQ.FT.FLOOR AREA S/SQ.Ff.
-mZ ARCHTfF.CTS DECLARATION OVER 1000 AMPS
1 m m ell used ss public records.
i _�IaOj SIGNS ELECTRICAL
um
dm6 OWNER-BUILDER DECLARATION SPECIALCDtCU "SC.
as-
�,L) 1 hereby arm that 1 am exempt frau the Contractors License law for the
3O� following..(Scdon7031.5,Business and Professions Cad,:Any city a county TEMP.METER OR POLE DJST.
y which reeu'um•permit In cnnatocL sler,intovc,drnwliah,rescinds any mmonc
prim to its iuuance.also recall.thati'liontforaurhprmdt In 111'. 1 POWER DEVICES
,<C the M is licmred puasuay,to d,povisiau of the Cono Curs,License Law(Chapter
0y, 9(caonencing with SeefionT0)0)of Division 3 oldie Business and Professions Cods) SWO,IMING POOL ELECTRIC VALUATION
R�' arbat be is"rouge therefnan and the bays for the ellcgW eacrep or.Any virlarionaf V1EfS-SWITCi:ES-Fl:CfURES ��- �6 �S./
=K> Section 7031.5 by anyapplimm
ntfor.pedtsubjects theapph...civil purely of
F=e ria mac Nanfivc hundred dollen(5300). NEW RFSIDFMIAI.ELECfR _SQ.FT. STORIES TYPECONSTRUCDOI
��� ❑ ou wo oftheproperry.wsnotin ay mofw fmWc'usolemmpeva s
_jr.- and do lesson..and e, he Cunei writ'.License
La does 1 apply Tuan,.—cl of
M P w imu Cade:The Cartoons a Littms law do.not apply o an owner of
popnrywhobundsaimpovesthcteon,and whodoes,uch workhearthroughhis
OCG GROUP RES. NITS
mplayees,pmvidedthat auchimpovementxaenot intendeda.ffeoffered fm We.IL
however,Ne bundingaimpovetnentueold within oneYwofmmpledon,the owner- �—
builda wnI have the burden of growing the be did out build or improve for pur ou of
Gale.). :V3MJ. yX.�.:,y""'1y:>:.ulfN.]J?' +W_ q�
❑ I..oawofd,poperty,emexclmivrlY wnvactinewiNlicenxrd wnvectono „yn h
n%
;g FLOOD NE APN
',X.ifexa�„x-c: .:ya�::it.'ra' e -„>,,:i 7•.%
caoouct the prolm(Sc,TON,Busimu and Pofmiau Code:)The Colmer&,
License Law dues mtapplytoanoamuofpopery whobulldsarimprov.thermn,and PERMIT ISSUANCE
whomntmcufor such Pojrcu withemnnamr(s)Bttnscd pursuant loth,Connector, ALTER-DRAIN&VENT-WATER(EA)
--•,t�, .. v.':-?,F£E SUMIMARY„ICN -✓ .
License law. .. .. .
❑ 1 Nm eamrpt order See .B&P C fa Nis r.aon BACK ROW PROTECT.DEVICESID
SANITARY Y_N
Ow. Da, DRAR.'S-FLOOR ROOF,AREk,COND. RECEIPTN
WORKMAN COMPENSATION DECLARATION SCHOOLTAX YN
EIlhmbyeffmnthalhavea, rf ofmmmtb,elf-insure,aamtificacof FVCPIRES-PER TRAP R CEIPTN
..J Workm'Compemadon Insuranceaacemfied copy themof(Sec.380),Lab C.)which PARK FEE k _N
-” mvm aIle s it 1 GAS-EA.SYSTEM-I INC.4 OIITLE6 BUIL W (VISION FEES
Policy• tt `iYIY r,CI G
Cyptwy II sY' D! - GAS-EA.SYSTEM-0VER 4(EM PLANCHECK FE l
❑ Cadfi p by famished.
❑ Certifi ropy is fdcdw inspccdondivision. GREASFNJDUSTRL WASTE R GRADING FEE
CERTIFICATE OF EXEMPTION FRO ORKERS' GREASETRAP SOBS FEE
COMPENSATION WSURAN
(This 'on rrW wt be caople,d lithe permit iafa chundoddollua(SI00) SEWER-SANITARY-S RM EA.200Fi. ENERGY FEE
or lmJ
I cat ythuin Ne fawhdch spcmutisiuurd.lahm, WATER HEATER ENTIE,ECTR
ria onaply born subject to Ne WorkersPAID
z Can 'on f n' WATER SY TING MIN Dae RecsiptN
j AMU
C NOT( TO I ANT:IL efwI n8 this Cerufi ,of Fiempdm,You should NEIV REST AL PLM&. SQ.PT. Nr A
TOTAL:
y subjest WuduS: mpmssdm provision f the labor Cade.you must
: > Toed ithmmplywith mvisau or ads permit than be damcd revoked. BUILDRJG FEE
Q CONSTRUCTION IENDHIG AGENCY _ SEISMIC FEE ILL^
J zby as Nat thm'u a mnmucdon lending mency for Ne performanc or TOTAL I ELECTRIC FEE
O the work fa wNch this pcmut is issued(Sc.309'1.Civ.G)
larders Nome n- '`s`�� CM' r ';.ke,'^ PLUMBING FEE
F Landers Address r p i MBCIIANICAI,Pmit_ T i e5 5
N/ 1 c.ufy wt I have nod this &radon and awe Nu Ne above irt..dan ix .'' • .. ••'.- .`
aPP MECHANICAL FEE
cams Iagratoramplywithdlcity Mmunryordina md.=Iaw mladngto PERMIT ISSUANCE �'
h building comvuctiort hereby sutMrice repreaceradvea of Nis city mmtaupon the / CONSTRUCTION
Z above-rnendonN Property,for urpretion puryeses. ALTER OR ADD TO MECH.
(We)agree to W.iMmmify and kap harmless the City of Cupertino against
liabilities,judgments.emu and expenses which rosy in any waylacruealed..said City AIR HANDLING UNIT ITO In.”CFM)
nv
in co cote of the granting of Ws permit.
AIR HANDLING UNIT(OVER 10,000 CFM)
Sie fAppfi=utCon ate EXHAUST ROOD OVIDUCT) Jko
PAID
HAZARDOUS MATERIALS DISCLOSURE HEATING UNIT(TO 100.000 BTU) Da, Rc
Will Be applicant.future building mcupanratom or handle heaardous material HEATING UNIT(OVER 100.000 BTU)
u defined by N<Cupertino Municipal Cade,Chasm 9.12,and the Heath and Safety
Code.Section 25532fa)9 VENTILATION FAN(SINGLE RESID)
❑Ycs ❑No
ISSUANCE DATE
Will theapplicenmrfuturebuilding occupant use equipment ordeAcuwhich emir BOILER-COMPOHPOR100.000BTU) !h [
bavnlom air conuMnunu es defined by the Bay Area Air Quaim Menagemenr BOILER-COMP(OVER 1(q.(Xp BTU) C
Diso n?
.. ❑Ycs ❑No NEW RESIDENTIAL MECH. SQ.FT.I
APR
A }0 1005
rdoo m
1 have mad the haeaatuiaom
s requirera under Chapter 695 of the (t,r R :e' !JJ
California Death&Slurry CNe.Salms:5505.25533 and 25534.I understand that
tithe building does nor currently have a arrant.the o is my res,tt,ibilityro noti
tcfy the
curanr of the mqul t,nito x which must to met Aria ton n U..er of a Cenificare of
Lt
ucYranry.
Owner or authoncd agent DoneI I
ISSUED Bl
OFFICE