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22 WHALERS LN - BUILDING INSPECTION (2) �\ The Conuno11vralth of Massachusetts Board of Building Regulations and Standards I ( (I: \Il'Nllll'.\I.III NlassachuscttS State Building Code. 780 CMR. 7"' edition til. • Ri rurl.h inwrrr Building Permit application To Construct. Repair. Kcnnxate Or I)enwlish u One- or Tit u-Furndi, Du elling 1. 'un,\' This Section For Official Use Only \ Building Permit Number: -Datz .Applied: 13 o _ Building Conunusoner/ Inspector ui Buildings Date ! --i SECTION I: SITE INFORMATION 1. P op r :lddress: 1.2 Assessors Nlap & Parcel Numbers I.I a Is this an accepted street? yes_ no Map Number P:urel NUmher _ 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq to Frontage(It) . 1.5 Building Setbacks (ftl Front Yard - Side Yards - Rear Yard ! Required Provided Required Provided Required Prodded 1.6 Water Supply: (M.G.L c.40, §54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Municipal On site disposal system ❑ Public ❑ Private❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' I Owner 1o % rA iRec d: / ` ��-�I 5 l (^LY Y Name(Print) lX.il -Address lbr Service: OqLILJ Sienature Telephone SECTION 3: DESCRIPTION OF PROPOSED WORK (check all that apply) New Construction ❑ Existing Building ❑ Owner-Occupied ❑ 1 Repairs(s) ❑ Alteration(s) Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units— I Other ❑ Specily: Brief Desc ption of rro used WOrk,: 0.1 S SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I. Building $ Z10 1. Building Permit Fee: $ Indicate how fee is deternnned: ❑ Standard City/Town Application Fee - 2. Electrical $ ❑Total Project Cost} (Item 6) x multiplier x i 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (I-IVAC) $ List: 5. Mechanical (Fire --- 'Total All Fees: S $u) cession) ( Check No. Check :\muune (':uh j 6. Total Project Cost: $ OY 2 15, ❑ Paid (n Full ❑ Out,1a11d1n2 Balance Due:___._-_ SECTION 5: CONSTRUCTION SF,RVIC'ES 5.1 Licensed Construction Supervisor(CSL) D775_ Ch r 5 bo hz(- ZD rZ Lrrense Number liv�pu`a�uon f):tit Name of CSL- I Ioidor �r2 _n List CSL 1)pe(set!hel( w) \J r•s h)' e - Deserw t on C t'nresoicted I i)to 3i.000('u. H i R I Reuriaed I•@_' F:unilt Dttellin_ Siennatur4a -�7 , I \1 \t:uonth� / O 1����"Y2y n th RC Re,,&ntul Houline Cmclin„ Telephone \\'S RcsiJential \IIInda\\ .mJ SIJinc _ SF ResiJemial Sated Peel l3urnm�� \ ))Irmrc In.i.illau��u D Residential Demolition 5.2 egos -red one Improvement Co tractor 0110 10 I 6�;� IilC 'on tiny N me H C Reg; ( and Name Reguvatiun Number Add es ✓ 9n2qL ON2� (p j 2Co 1 Z(� I.2— _%plrutlan Date Sign re Telephone t SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152. § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application: Failure to pnrcide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes .......... ❑ No ........... ❑ - SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S j- GENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I l !(l�l /ICj I, S F p u as Owner of the subject property hereby authorize I �7 �� to act on my behalf. in-all matters relative to work authorized by this building permit Yplication. Si nawre of Owner Date /�,^ SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION I, P I r I-5 7D rZce�t— as Owner or Authorized Agent hereby declare that the statements and information on A4 foregoing application are true and accurate, to the best of my knowledge and behalf. ChF15 C UI Z Print Nam Signature of Owner or Autho ized Agent a is (Signed under the pairs.and penalties of perjury) . NOTES: I. An Owner who obtains a building permit to do his/her own work, or an owner who hires tin unregistered contractor (nut registered in the Home Improvement Contractor(HIC) Program), will not have access to the arbitration program or guaranty fund under M.G.L. c. IJ'_A. Other important information on the HIC Prourarn and Construction Supervisor Licensing(CSL)can be found in 750 C'MR Regulations I IO.R6 and 110.R5, respectively. _). When substantial work is planned, provide the information below: Total flours area (Sq. Ft.) (including garage, finished hasement/attics, decks or purehi Gross living area lSq. Ft.) - Habitable nxtm count _ Number of fireplaces .Number tit hedrnums _—_- Number of bathrooms Number of halt/h:uhs F pe of heating systern Number of decks/ p Arches -------_-- l)pe of cooling system Unclosed _Opert 3. "Total Project Square Footage" stay be substituted fir "foul Project Cost" CITY OF SALEM PUBLIC PROPRERTY 3 I�fr DEPARTMENT ,.\ru-H;Il INN 1<e I'll _ 12:W.NIIiNI,t.I\tii N l f 1 0S11f 111: 9'8-74;.9;95 • F\x: '/'S•'a.'ni;n Workers' Compensation Insurance Afffdacit: Builders/Contractors/Electricians/Plumbers flicant Information Please Print Le ibl C `mile (f3uauh•si ()r_atllLalluR 111d1\Idelal.l: A LLi f(�t�\ 5�+�[ ✓'�„� j�� " State,'Zi - c It y, p: �]1Pm. M1� DI 9"1D Phone #: 7�5� 7�11 �)A Z'l Are vuu an employer:' Check the •dppropriate box: Type of project (required): 1.d Latn a employer with 4• ❑ 1 am a general contractor and 1 6. Q New construction employees(full anti%or pan-tithe).' have hired the sub-contractors Q Remodeling ❑ I ant a sole proprietor or partner- listed on the attached sheet. 7.ship and have no employees These sub-contractors have S. ❑ Demolition working for me in any capacity. workers' comp. insurance. q, ❑Building addition No wurkers'eum insurance . 5. ❑ We are a corporation and its [. p• 10.0 Electrical repairs or additions required.] officers have exercised their right of exemption per MGL 11.0 Plumbing repairs or additions 3.❑ I am a homeowner doing all work g P P myself. [No workers' comp. c. 152, §1(4), and we have no I2.Q Roof repairs insurance required.] ' employees. [No workers' 13.0 Other - comp. insurance required.] \ny applicant that checks box#1 must also fill out the section below showing their workers'campensation policy information. t I lomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors most submit a new affidavit indicating such. $'ontracmrs that check this box most attached an additional sheet showing the name of the sub-wmractors and their workers'comp.policy information. l am an employer that is providing workers'c'onipensation insurance jar my employees. Below is the policy and fab site information. - Insurance Company Name: Policy #or Self-ins. Lic. #: I. ocao M ea f S t)B Expiration Date: Y� Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of I1MGL c. 152 can lead to the imposition of criminal penalties of line up to S 1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a in of up to S250.OU a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of In\esnivalions of the DIA fur insurance co\erage verification. - - I Ja hereby c•ertif}• rder the pins ant/pen«ltic�s of perjury drat the injortuatinn provieler/«bove is true and correct. tiiun,uure: Date: ^d�--ee� Phone official use only, Do not )Trite in this area, to be completed by city or town official City or fawn: - ------- --..--.-- Permit/License #—.__..-----..—_-- lssuint; Authority (circle one): i. I Bard of licalth 2. Building Department 1, Cityifuwn Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Information and Instructions \t.ts.achuscus General L:nvs chapter 15' requurrall Cntployefs to prt.iJe workers' compensation for their employees. pursuant m this ,tatute. .m emph{ree is defined.is'•.. vn ery person in the set ice of another under any contract of hire. c\press or implied,oral or a ritIen.- \n dugrlorer is Jelined as"an inJi%;dual,parincrship,,t."ociation.corporation or other legal entity, or any two or more of the titnguing emaageJ in ajoint enterprise,and including the legal representatives of a Jeeeased employer. or ;he recei%er or trustee of an individual, partnership,association or other legal entity,enploy ing employees. However the u•a tier 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 Jo maintenance,construction or repair work on such dwelling house or on the_rounds or building appurtenant thereto shall not because of such employment be deemed to he an employer." .*,I(it. 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 his not produced acceptable evidence of compliance with the insurance coverage required." Udirionally, SIGL chapter 152, $25C(7)states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public+pork 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 affdavit completely, by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s) name(s),address(es)and phone number(s) along with their Certtfcate(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 confirmation of insurance coverage. Also be sure to sign and date the amdaviL 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 thew self-insurance license number on the appropriate line. City or Town Officials Please be sore that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of fhe affidavit for you to till out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to ffll.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 tile 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 bum leaves etc.)said person is NOT required to complete this affidavit. rho t nfice 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. fhe Department's address, telephone and tax 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 Ite,;seJ :•'6-I» Fax # 617-727-7749 www.mass.gov/dia DISPOSAL OF DEBRIS AFFIDAVIT In accordance with the provisions of M. G. L c. 40, Sec. 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed facility as defined.by M. G. L c. 111, Sec. 150a. The debris will be disposed at Salem Transfer Staflon owned by Northside Carting Signature of PertnitApplicant Date hristooher Zorzv Name of Permit Applicant A & A Services Inc. Firm Name 115 North Stree Salem I�fuA 01970 Aedress, City, State, Zip Code Massachusetts - Department of Public Safen Boars] of Building Regulations and Standardx I Construction Supervisor License License: CS 57733 1 Restricted to: 00 CHRISTOPHER ZORZY 115 NORTH ST m —— — SALEM, MAD1970 Expiration: 5/262011 Onuniissiunrr Tr#: 14751 ___.. .. _._.. .......... .. ... ... _.._..:.. -_- � ." Board o[Buildiae.Regulations and Standards _ HOME IMPROVEMENT CONTRACTOR Registration: 101609 Expiration:, 626R010 Tr: 267670 Type; Private Corporatipn A&A SERVICES,iN Christopher Zorzy' r .115 North Street Salem, MA 01970 Administrator _ Commonwealth of Massachusetts Division of Occupational Safety Laura M.Marlin,Commissioner tr Deleader-Contractor CHRISTOPHER ZORZY Eff.Date. 04/01/09 Exp.Date 04/06/10 - �O Meaw of C.O.N.E.S.T. 1 60 - IIIYIII I�I��I II�IiI II iIC��III II�IG II� OII I�� 1�II aOSMNRENEW - i I-Too r- • s r � #El-m • • 111: 111 111 Iola 111 111 1 111 1111 I.n„ r - 0 6 �, ^F% 21 eGn..-h Y^t x z dss.E;r F'� 4•.ca � ...!.' 'Ir.,.. .� 'w 01 d'i 1 UPS C E N 9 g REM ® 111 111' : 11/ 1 11/ 111 1 111 Is P 'y4'� MailY C �[P2'�"�-` 7�ME/ VIAM �uuuuxxxx+es ke' 'L-t - Pc. ss'.'r +� .•y ra,M't t�f..81 *'1&�P`C Rfi �.aVf � � t� @ ° �'� ���s:a:u���a nw��hs $m.tOEM .3.. ns^ ® 111 111' 111 ' 111 111 1g11 111 ® w• E l I 19 �+'.: x h � a ,+ y 3 z 1� .�h C'� t"z'4i Y 4 x '1 .a. V te' @tiyy � �F�@� rta A !6 4t1T.mk.`m '7k?.b+ Et '�h��.z,��`x�.c `� �.:''i si JmG n "��., �i � sL.,.�sk'��� � r .x-t"3­11 �t N®s�$>(.e_ '"� c.- SwaAiK42 ,;'� a 4.�. k �^..iU �4�'�'$1 '�"• -o S>� i, � ,, ... �` t ' �.. ® 11/ 111 I 111' • 111 111' 111 11/ 1111 . t e f-6'Y1 ti s-T F+,T I .3�N"'S f 'FzSxx-rYj 'na`�i �4 7"`v��R�k.c� z .a�},,,�?u[?"x�^�'.2�it'?i`���..i;:s F. •�z"a�k�^."3��°e�is.:�s..n a,ao �'..aC s.:..�� ��[ i � ._a..�',rS, '�,+'.`.,.v_ 1`� * AGraCe re7 A & A SERVICES, INC. A SERVICES 115 NORTH STREET,SALEM,MA 01970 • • • Telephone: (978)741-0424 Fax: (978)741-2012 Contractor Registration No. 101609 Federal EIN:04-3090162 - Construction Supervisor No.CS057733 CUSTOM REMODELING AND IMPROVEMENT AGREEMENT Buyers)Name Date of Contract Buyer(s)Street Address,City,State and Zip Code 20 Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address: 97�-3aG-�s6 g2��yl-ovY TL Foc�`1 a-� �, c The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed on the accompanying specification sheets,in accordance with the prices and terms described on the front and the reverse of this agreement and any specification sheets(this"Agreement"),and Buyers)have requested that such goods or services be installed or provided at Buyer's address listed above. A&A SeMoedi Inc.("Contractor),hereby agrees to install or cause to be Installed the products or services listed in this Agreement at the Buyer(s)address wntten above. This Agreement represents a Cash sale of goods and services. The Buyers)agree to pay in cash the coal of the goods and services purchased as described herein,regardless of timing or approval of any financing Buyers)may seek for their purchase. Purchase Price: �1 Est.Starting Date: Down Payment: Est.Completion Dale: ❑Cash Amount Due on Stan of Job: 71-Y deck #a r34 O Credit Card / l/ h-"C&� Amount due on of Completion: 3 Y No. Amount Due on of Completion: -7 �'bZ,(�$ Fa Expiration Date: Balance Due on Upon Completion:Ar 12 CVC Code: It is agreed and understood by and between the parties that this Agreement,front gpd back and any addendum,constitute the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms of this Agreement. Buyer(s)hereby acknowledge that Buyers)has read the front and the reverse of this Agreement and has received a completed,signed and dated copy of this Agreement,Including the two attached Notice of Cancellation forms,on the date first written above. Buyer(s)also (1)acknowledge that they were orally Informed of their right to cancel this transaction;and(11)request that they be contacted via their telephone numbers or a-mail, as listed above, in the event Contractor believes Buyer(s)would be Interested In any additional quality products or services of Contractor. DO NOT SIGN THIS CONTRACT IF IT CONTAINS ANY BLANK SPACES. A&A Se ices,I /� Buyer(s) , Signatu� Cel l lc- b_ XSi ng atyr OD T�� Print Name Print Name Signature Print Name You,the Buyer(s),may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the following Notice of Cancellation form for an explanation of this right. ARBITRATION:The Wmurshe ell Me hommwmr kerepy mume0y spree..Matrix,Val In the erem either parry Ilea a of,.m rcemirp Nis...aM.,pant nay sIWMt so.Obpum of spreale summon estimatewmia has[eon mareand ey Me secretary of Me Exaytiw su once of Consumers maim ell BusinessReOuleM1om vN Me Whor pod Mad he required to sucam to such shroaddn m passed!in M.G L el<PA. Cmnmcmr Be"Niuelc Otle: NOMNOm 0 NOT CE OF GANGFI i ATI0N Z �SYou my cancel the hWac .Mums,any aenody or arm ofTrerwnlpn G Z You may�Mix,Mvseam.sanded try,pews,Or Data of Transition-ZOV celMMpn.MNln Wee eusiriesa mays lmmtM elmetlelr.Ityouunrolanyomper tradedln, oblaren,wlMin Mne isineuddives from are silo,Me.IT you Axel.any TDpeM m in, try,mymeM6 made by you imer the chmm inside,aW any numerous lxwmeM exeNwd of Barents mme ey you Made Me comet or side,ew an,rommeaas mmmm ekecmmM ey you will W remme]Shin 10 den followlrg remise by Me seller of year ranmlmfgn mass. by you MII be reamed share to days mlmMre nmWt by the senor M your unmllaUm notlm, ell airy aensery lemmas ewls0 cal of Vw bensecYm Mil M tsnce0a]. h you.,you must ell any eetrsrlly ieereM MWfe aN M Ilre bensectien MII La untamed. It ynu mmel,you mu& any gods dolieMe Walks slyerrecourae or al or you gmdmMAbneaweenrm'mg m,goodilomnddu you underM>wrnba ng subamnWlral my,It youa. Man the Me any walla dMrvered is metudin,er M cmlrenor saM;Myemhase tam sellersn. MMM the Momaxasaelheresme Name th convenmres,.1 code Ifyou Mm.mmpH .an• ill 11ms d tlw antes hodsp he velum M ell M Ill 0eaSa 01r d SMnal"th a oM 'Me. ff el tlhe SeINr naerdirq the remm N Senl al ha t a M lee a t pia and Mak II you MD mMn Me seeds eveiledle m ill Seller ell Me aeIIM cites nos pck Mem up rills. X you do f Mks Mr your Name of to Me lari Md Ill sear Or t mat pitls Mmm up whhin20daysafhedela MywrNWmol Lee mlioayNiyew or lws . of Wumdu w"w2 yysofWdp9m.dyad of Glolletm,you may reWn or tispaseMMnO use Mhoum mar wood, to esa lr you fail re da an yo hulaeMWselkLorHyau egm wMmou an had ONipallon.ar a tell to mMu Mepmyu,—.In mho M011eLortlyoupm lq seem me pads W Me Mellor erW fmi m do eo, mo you nmtin ladle W paMormenm M ell c nmm Ne OmLL man Seller ell mil m W m,Min, mneln(add.ra br mnm dMW M MI DMlgadonsuMrr Me CmVMf.Tomnwlllslsbenseaonsales Wtiverasgned end Baled ropy WlgedonsuMer lee ConOecl.Tocexel Mrs eeneecllon.mMl or MaliveresiansdeM dMed ropy M Vm toraOlblkn all Or mry her samen-he,or Most a Missouri m MA ae��a�r, 1• of he mnmlmWn malice or try,BIMr Arms norl mar sew a mlpRm,ta Sa 1 Noll St.,SWe,Maesachuaew 01010,NOT I-A ER THAN MIDNIGHT OF` IMrlh Mass.Salem.MeveemaeW 01970.NOT LATER THAN MIDNIGHT O�G 'z(. O (Gate) (DON) HEREBYCANCELTHIMTRANSAOTION. Conaummysignahe rem I HEREBY CANCEL THIS TRANSACTION. C; u.r§ftnamm Derr n � A & A SERVICES, INC. 115 NORTH STREET,SALEM,MA 01970 • Telephone:(978)741-0424 Fax: (978)741-2012 Contractor Registration No. 101609 Federal EIN:04-3090162 Construction Supervisor No. CS057733 ENTRY DOOR SPECIFICATION SHEET Buyer(s)Name Date of Contract r1a S L. cc— 1G -22—c9 Buyers)Street Address,City,State and Zip Code 22 e F�cF2sL^& r S o/ 7a Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address The Buyei(s)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,in accordance with the prices and terms described on this Specification sheet and the front and the reverse of the accompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which this Specification Sheet is a part. ENTRY DOOR Remove and dispose of# existing entry door units. stall new entry doors# z.Z- Manufacturer Location Z-0 C✓ e Type: ❑Steel ❑Smooth Star ❑Fiberclassic ❑ClassicCraO krl�liding Patio Door ❑French Hinged Patio Door Model# Sidelight(s)# Sidelight(s)type/model# OPTIONS: ❑ Adjustable threshold for ThermaTru Door ❑Grids for patio doors: Style: ❑ Stain Kit: Supplied to owner ❑ Expand or shrink the size of the opening Details ❑ Cover exterior trim with aluminum coil stock: Style Color Hardware: Erfl—andelset ❑Deadbolt EWo-otbolt ❑Mail Slot ❑Peepsite ❑ Install oak stop at floor as needed. ❑ Caulk interior and exterior edges. '&/eC/'-r fCn) + Cry( ❑ Insulate around new door unit where possible. (,y-J-(7Z—. /c 7- 2 us2 ❑ Painting is not included. ❑ Included in this proposal are set up and clean up. STORM DOOR ❑ Remove and dispose of# existing storm tloor(s). ❑ Install new storm doors# Manufacturer Style Color Type: ❑Aluminum ❑Solid Core ❑ Location: SPECIAL INSTRUCTIONS: ��7vrol�E a fs--;e .'� 6C SCC/Jiue CC- pS ©ec2S —.�,"� ���2 Qua M-S !..✓.ST/-iC.L `� �K>z� Sc�-fttrc-_ l'L-r+.r_S /Jcc/23' w177f 772/1-11 / � �/3f2eiSH� Cff���^� f{Ai201�r 3 SYS7ry t lae7Lcc/� .r ISLrofn a sC�E'I'`ti b�2 t c ct DES it Is agreed and understood by and between the parties that this specification Sheet,along with the CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,coring. ones the entire undembinding between the parties,and there are no verbal understandings changing or modifying any of the terms. This contract may not W changed or its terns modified or ended In any way unless such changes are In writing and signed by both the Buyer(s)and the Contractor. Buyene)hereby acknowledge that Buyene)he.reed this Spxuicetmn sheet. Contractor Initials: Date: U 2-t, p9 Buyer's Initials: �� Date: