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25C-105 (7) ACORD„I CERTIFICATE OF LIABILITY INSURANCE DATE(ININIDD/YY) 08/05/98 PRODUCER T�iIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION COUNTRY INN INSURANCE AGENCY, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 'PHIS CERTIFICATE DOES NOT AMEND, EXTEND OR 217 MERRICK ROAD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. SUITE 212 AMITYVILLE, NY 11701_ NSURERS AFFORDING COVERAGE _ BIL—RAY .ALUMINLT4 SIDING CORP. INSURER A-.7. 0' I:ISURANCE CORPORATION OF NY 134-10 ATLANTIC AVENUE INSURMEt:CI(JNA INSURANCE COMPANY RICHMOND HILL, NEW YORK 11419 INsuoAcREALM INSURANCE COMPANY INsuREx DGUARD IAN INSURANCE COMPANY INSURER E: • --..—.�_�r.._.....,__._.� COVERAGES THE POLICIES OF INSURANCE LISTF.I;BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE =0R THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RIKE PECT TO WHICH THIS CERTIFICATC MAY BE ISSUED ;1R MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS;-EXCCEISJOPIS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF AI*80RAMCE POLICY NUMBER POLICY 6�CT1Vi POL IC Y EXPIRATION LIMITS GENERAL UAMUTY EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY RRE DAMAGE Wry am tiro) S 50,000 1 CLAIMS MADE E OCCUR MED W(Arty one penoN S Si 009- A IGLOO6886 05/14/98 05/14/99 PERSONAL&AOV INJURY s1 000 000 1 GENERAL AGGREGATE t2,000,000 GEN'L AGGREGATE LIMIT APPLIES PSR: PRODUCTS-COMP/OP AGG $1,000,000, POLICY PRO- LOC AUTDMOWLE LIANUTY COMBINED SINGLE LIMIT S ANY AUTO (Es aeeidorM ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (par PanoN _ HIRED AUTOS BODILY INJURY 6 NON•OWNED AUTOS • (Per auc= PROPERTY DAMAGE $ (Per accident) dARA,GE LWMIJTY AUTO ONLY•EA ACCIDENT S i ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCE$IEAGIUTY EACH OCCURRENCE $3, 000,000 OCCUR CLAIMS CWMS MADE AGGREGATE S 3 0 0 0 0 0 0 B BINDER # 05/14/98 05:/14/99 s DEDUCTIBLE CI I514 9 7 s RETENTION s s WORKERS COMFIRASAToON AND WC STATU- OTH- C a*PRnreRS'u`ulLrrr BINDER # 05/14/98 0 5/14/9 9 F-EACH ACCIDENT $5004000 C I I 514 9 8 E.L.DISEASE-EA EMPLOYEE s 5 0 0 0 0 0 E.L.DISEASE-PoucYumrr *500 000 OTHM D DISABILITY BINDER # 06/01/98 UNTIL C1151499 CAICELED I)MCPEPTION OF 0PHtATIOU&WCATl0N3IVMCUE3IIXCLU&ONS ADM all HYDGRSrMOffISIECLAL PROVISIONS R CERTIFICATE HOLDER ,MT1aNAL INSURED; INSURER LETT»e CANCELLAT10N SHOULD ANY OF TW %BOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THE MF.THE I SSRANO INSURER 1ARLL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE.TO THE cOM1CATE HOLDER NAMED TO THE LWT.OUT C;+l uRE TO OO$O$WALL AHPOdE NO OSUGATU'IN OR UANUTY OF ANY KIND UPON THE INSOROL fTd ACAM6 OR REPREiSE1YTA ' Aurlaott�D -a�pVE r i s , v�r✓ii �m oV NH Lic.No. " Job# v MA Lic.No.120456 HomeCentral New York Department of SALES: FOR ALL Consumer Affairs Lic.No.730686 New York: SERVICE/REPAIRS The Service Side of Sears'" Nassau Lic.No.H2704150000 800-942-6111 WINDOW Suffolk Lic.No.2964H1 PLEASE CALL Yonkers 654 Boston: 800-942-6111 CONTRACT Westchester WC 613H87 New Jersey Lic.No.097578 800-SEARS-31 Connecticut Department of Springfield/Hartford: Consumer Affairs Lic.No.532774 800-SEARS-56 VT Lic.No. _ g RI Lic.No. SOLD TO �O.�EI�i� in C DATE 3/ /S L ADDRESS 23C. /✓,4-1,�6+E PHONE(Home) CITY_ 1/�/Z ,L�t� STAT61il6aZIP 010W PHONE(Work) ( 3) S y3`FY JOB SITE ADDRESS(if different) APPLIED VINYL WINDOW SYSTEMS Sold,Furnished 8 Installed by Bil-Ray Aluminum Siding Corp.of Queens,Inc. 18 Lyman St.,Suite M1 A Sears Authorized Contractor Westborough,MA 01581 40 Elmont Rd. Elmont,NY 11003 General Description of Work at Above Adoress: Approx.Start Date: f Type of House:13Prame ❑Masonry Approx.Completion Date: / SPECIFICATIONS Sears approved materials will be furnished and installed to these specifications: YES NO PLEASE READ CAREFULLY:ONLY THE ITEMS CHECKED"YES"ARE INCLUDED IN YOUR ORDER. 1.?% ❑ Remove windows from opening where they now exist on: 2 04 ❑ FIRST LEVEL # Openings_ # New WindowUnits� 3.cif 1`7 SECOND LEVEL # Openings __5 # New Window Units 3 4. ❑ )t* THIRD LEVEL # Openings # New Window Units 5. ❑ Pf BASEMENT # Openings # New Window Units 6. ❑ k OTHER # Openings # New Window Units 7. ❑ >0 Removal of Metal or other units requiring modified installation #Openings #of Units 8. ❑ >if Install new paintable Mouldings Inside Stops#of Openings Clamshell or Casing#of Openings 9. ❑ >0 Install new Master Frame #of Openings 10. 0 New window units to have double strength insulated glass '/V total thickness 11. po �;❑ New window units to have fusion welded sash#� 12. New window units to have fusion welded frame# df2 — 13. ❑ New window units to have complete Energy Package consisting of injected foam insulation,Low-E coated, Argon filled insulated glass #of units 14. ❑ New window units to have Cam Lock(S)or Latch Lock(s) 15. 11 jdl New window units to have Obscured Glass# Half Full 16. p!' ❑ New window units to have half(Yz)screen(full screen on casement type window) 17. % Ll Install PVC coated aluminum to window frames Colors #of Openings 18. f 7 Caulk and seal windows with 3 point system 19. L.I Remove and dispose of existing windows and/or storm windows 20. ❑ Color of windows to be White Timbertone Sandtone Bronze (Special Order Full Engergy Package Not Available) 21. ❑ `�Windows to have Grids Colonial Diamond []Full ❑Vz ( Additional info 22. 11 Total#of Double Hungs Total#of Hoppers l Total#of Casements Total#of Awnings Total#of Two Lite Sliders Total#of Three Lite Sliders Std. or Equal Total#of Dead Lite/Pictures Total#of Basement Sliders 23. ❑ tto Special Order Windows(in Addition to Above) 24. ❑ Cleanup—All job related debris will be removed from property on completion of work 25. ❑ Insurance—All workmans compensation and liability is maintained All Discounts Have Been Applied. 26. tt/i ❑ Warranty—Mailed to customer upon completion and full payment is received 27. ❑ Payments—(On non financed orders)is payable to installer on day of installation ___. Deferred Payment,Interest Will Accrue. 28, 7 All Discounts have been applied _ Job�Total$ �_?—L- _Less deposit 25% Balance_rf�— On Measurement 1/2 >4FINANCED$ S — _does not include interest ¢¢ 0115, Completion 1/z _ It financed,balance payable in onlhly installments of approximately$ (Ji_ -!per month,payable by"Owner'to contractor, but it financed by Owner then Owner will pay said amount to the lending institution plus such interest and credit service charge of said lending institution payable directly to the lending institution loaning such monies to"Owner" nd v�ill exec to a Retail Installment obligation and an documen required by such lending in bluhol it nom, connection wi said loan. �jy J� j s �Qa 29. IJ Additional Information ro""�._n����.�±�r PER ,IIT REQUEST OFFICE: CUSTOMER N:�tiIE: � CAF/_S . CUSTOMER ADDRESS: ,�'-_1-�-• fly°� c-� JOBSITE ADDRESS (IF DIFFERENT): D ATE SOLD: SOLD BY: PRODUCT: S PERtiIIT CITY ! T05Ni : © �� ?tiIOU T OF SALE: g FIRST S1000: -OTHER S?000 S: \144i TOTAL FEE: 7_0 L o CHECK WHICH APPLIES: Y �I o � CASH: •r HECK: (number) (bank) N CUSTOMER WILL PAY AT START OF JOB. rm rJ rT9 Customer Signature TOTAL:$ ° Ln O tin f o- �. rn T o �' :• W o i+ O Er PERMIT OBTAINED BY: D, "W< QO r'+ O VWa 00 Nm� Y ti a .a O°o cr r _ O —lNZ y LL an YN'uolsogyuop �i �. v •'v o• � m -»s D Z m p 70 _ > �• _ O Z r � C rn � O I � '7 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. lq Additions APPLICa ATION FOR PERMIT TO ALTER Repair Garage 1. Location 3 Lo ► S T Lot No. 2. Owner's name�kI2 h 0, VIA G N LEA Address 93(e gR ►-bGe_ 57. 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration /V_Lt) Re/o ti> w .ufa o i t 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house —4w- 14. Estimated cosL- The undersigned certifies that the above statements are we to the best of his, her knowledge an lief. Signature of responsible app icant Remarks O O B � 's �Z� XX� �LJrZ���11C�7fDIi 9 6 �==,Aehttseeea co DEPARTMENT OP BUILDMG INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass.' 01060 woruCEn'S CONUENISATTON'INSUFj�-NCE AT, t Avrr (li�>_tscclpermi cicc} vriti a principal place of business/residence at: (siZ ty/stair_haP) do hereby certify, under the pains and penalties of perjury that: O I am an employer providing the follo`ving wor-ker's compensation coverage for my employees wor"ing on this job: (Lasur-na Company) (Policy NumL--r) (Expiration Date) ( ) I din a sole proprietor, general contractor or homeowmer (circle one) and have hired the contractors listed below who have the following worker's compensation policies: 't (Nuue of Co ttr-;xlor) COitl^3Tj/k OItCi N- 1 P1CCr) (Exmp boa Date) CN,,ine of Contractor) — - (llsa cncc CoU1Da;1`•%Po!1Cr tiru_lc r) (Expintion Date) (Name of Contractor) (Lasur ncz- Compaa)•/Policy Numlxr) (Expiration Date) (Name of Contractor) (Insurance Comoany/Policy Number) (Expiration Date) (ettach_mitional r'..cct ifncoc to inrludc infortniica pertsining to a.0 0oa�-3) (�am a sole proprietor and have no one working for me. ( ) X am a home owner perforznin.a all the work myself- NOTE:pica--be assns tbia w$i10 homcoxnm wao cLap Iay persons to do t-in+mi cowtvcJoo-or repair work oa a d`.cniog of aot tnoco tb--m thro.units is wb"Ux l=noowvtr rc:.o oc ca the grounds sppttrtcn.r,s tb,- arc oa gc z oomidcrcd to be employrrs under tho wockcx'i ooaVc=.is a Act(GL152•=1(5)),application by a homroA-D r for a VC=3-oc PCfm may C--d--the legal dansi of aA omployoc under dh Workoei Comp*oa.i oa A--t.. I aadcra*and dx4 a oopy of."macaw=t may bo forwvrdnd to the DeVu tnma of L dh,,iial jk c;�OfS of lraucsooe for tb. covcngc vcrificsiioa and lima Gilurc to town a vcrngo under Soctioa 73A of h(GL 152 can lad to tbd imposition of crimioA Pcasltia oomisri.8 of a•fine bf up to S 1,500A0 an&OC 6pr6o®eaf of tip to one yar and avt2 pcmriica in the form of R Slop W ork Ords and a 1 fun of S 100.00 a dxy agxinA me For dryaCnxntal tiro only Permit.NTumbcr Sipaahu�of r:i crmitLoc _. �`J�'raNliy.=•4��Y:�V y4i•.•��.�i�}-_ ..a.:tVT`J+m r�iM r. 10_ Do any signs exist on the property? YES NO IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property/?YES _ NO IF YES,describe size,type and location: 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This cols to be filled in by the Building Department I Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking% # of Parking Spaces # of ,Loading Docks Fill: -(volume -& location) 13 . Certification: I hereby certify that the information contained herein G is true and accurate to the best of my knowledge. DATE: ?��Z� g APPLICANT's SIGNATUR NOTE: Issuanoe of a zoning permit does not relieve an 111 burden to oomply wit" ill zoning requirements and obtain all required permits from the SOard of Health, Conservation Commission, Department of Publio works and other applloable permit granting authoritiou. FILE # File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: t��£ \ -� U Address: `} tcl '-'��'P\ R C Telephone:_& n— \4�{ 2. Owner of Property: 4:- 1 c �d- Add ress: 2 34 `QfZ� (1, t= ST Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): G ^ w.,,T,2 PICTb-(Z 4. Job Location: (30U1 Parcel Id: Zoning Map# Parcel# e5 District(s):_ (TO BE FILLED IN BY THE BUILDING DEPARTMENT) S. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. S. Has a Special PermitNariance/Finding ever been issued for/on the site? NO DON'T KNOA' YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ,date issued: (FORM CONTINUES ON OTHER SIDE) Reference No- BP-1999-0487 Department: . ................................. Building, Electrical & Mechanical Permits ......................................................................................... Fee Type: Receipt No: replacement windows REC-1999-001326 ... ..................................................................................... Paid By: Pa.I'd..i.n.F.u.I.I..0.n:.......... Michael Verdini Thu Nov 1.2,1998 .•..•.....•..•• .............................................................. .......... .. . ...... ...... Received By-, .C.h.eck.No:............. Linda Lapointe 371 ......................................... ............................... ............... ...................................... DEPARTMENT'S COPY Amount: S20.00 ---—-- - - ---------- I)EPARTMENT FILE COPV 236 BRIDGE ST CITY OF NORTHAMPTON BUILDING PERMIT Owner's pulling their own permits or dealing with unregistered contractors for applicable work do not have access to Guaranty Fund(MGL 142A) Issued: Permit No: Inspector: Tracking No.: Fee: 12 Nov, 1998 BP-1999-0487 $20.00 GIS Map Block: Lot: Address: Zoning: Use Group: Lot Size: 4485 25C 105 001 236 BRIDGE ST URB 10497.96 Contractor: License Type: Insurance: Michael Verdini HIC Address: License No.: Insurance No.: 48 Barclay St 121296 City: State: Zip Code: Phone: WORCESTER MA 01604 (508) 797-4144 Project No: Category of Work: Const. Class: Cost Estimate: JS-1999-0938 windows replaced $5,224.00 Description of Work: INSTALL REPLACEMENT WINDOWS GeoTMS@ 1997 Des Lauriers&Associates,Inc. Signature: • 69EVAn� ME Lie.No.DD00001893 F.I.D.No. 11-2320449 �`�J ��::// NH Lie.No. ` .. MA Lie.No.120456 Job# Hom nFeri tray New York Department of SALES: FOR ALL Consumer Affairs Lie.No.730686 New York: SERVICE/REPAIRS The Service Side of Sears'" Nassau Lie.No.H2704150000 Suffolk Lie.No.2964HI 800-942-6111 PLEASE CALL WINDOW Westcss54 800-942-6111 Westchester WC 613H87 Boston: CONTRACT New Jersey Lie.No.097578 800-SEARS-31 Connecticut Department of Springfield/Hartford: Consumer Affairs Lie.No.532774 VT Lie.No. 800-SEARS-56 � q RI Lie.No. SOLD TO �OSEI C' �/`G/V�IS DATE ADDRESS 23(. ��-t h li X77' PHONE(Home)(e tT� CITY �Q/3��'L� STATE�ZIP 19Z0W PHONE(Work) (i3) j%S -31(2, JOB SITE ADDRESS(if different) APPLIED VINYL WINDOW SYSTEMS Sold,Furnished 8 Installed by BI-Ray Aluminum Siding Corp.of Queens,Inc. 18 Lyman St.,Suite M1 A Sears Authorized Contractor Westborough,MA 01581 40 Elmont Rd. Elmont,NY 11003 General Description of Work at Above Adoress: Approx.Start Date: Type of House:S�Frame ❑Masonry Approx.Completion Date: / SPECIFICATIONS Sears approved materials will be furnished and installed to these specifications: YES NO PLEASE READ CAREFULLY:ONLY THE ITEMS CHECKED"YES"ARE INCLUDED IN YOUR ORDER. 1.in ❑ Remove windows from opening where they now exist on: 2. ;l ❑ FIRST LEVEL # Openings _ # New Window Units 3. )C 77 SECOND LEVEL # Openings # New WindowUnits_y� 4. ❑ THIRD LEVEL # Openings # New Window Units 5. ❑ BASEMENT # Openings # New Window Units 6. ❑ OTHER # Openings - # New Window Units 7. ❑ jSb Removal of Metal or other units requiring modified installation #Openings #of Units - 8. ❑ Install new paintable Mouldings Inside Stops#of Openings Clamshell or Casing#of Openings 9. ❑ >° Install new Master Frame #of Openings 10., ❑ New window units to have double strength insulated g�la�ss %'"total thickness 11. ❑ New window units to have fusion welded sash#-F- 12. ❑ New window units to have fusion welded frame# �7 13. ❑ New window units to have complete Energy Package consisting of injected foam insulation,Low-E coated, Argon filled insulated glass #of units 14. ❑ New window units to have Cam Locks)or Latch Lock(s) 15. (1 j0 New window units to have Obscured Glass# Hall Full 16. >9" ❑ New window units to have half(1 12)screen(full screen on casement type window) 17. ❑ Install PVC coated aluminum to window frames Color Sa q>r wrl"of Openings 18 11 Caulk and seal windows with 3 point system 19. L1 Remove and dispose of existing windows and/or storm windows 20. ❑ Color of windows to be White Timbertone Sandtone Bronze (Special Order Full Engergy Package Not Available) 21. ❑ ` Windows to have Grids Colonial Diamond ❑Full ❑1/z ��n( Additional info 22. k6 ❑ Total#of Double Hungs��_ Total#of Hoppers ll Total#of Casements Total#of Awnings Total#of Two Lite Sliders Total#of Three Lite Sliders Std. or Equal Total#of Dead Lite/Pictures Total#of Basement Sliders 23. ❑ Special OrderWindows(in Addition toAbove) 24. ❑ Clean up-All job related debris will be removed from property on completion of work 25. ❑ Insurance-Allworkmanscompensationandliabilityismaintained All Discounts Have Been Applied. 26. ❑ Warranty-Mailed to customer upon completion and full payment is received _ 27. ❑ Payments-(On non financed orders)is payable to installer on day of installation Deferred Payment,Interest Will Accrue. 28. �All Discounts have been applied _ Job�l$_��-?� Less deposit 25% Balance�� -` On Measurement 12 t�i.FINAN'ED$ S _ -does not include interest Completion 1/2 If financed,balance payable in onlhly installments of approximately$ �__�_! per month,payable by"Owner"to contractor, but if financed by Owner then Owner will pay said amount to the lending institution plus such interest and credit service charge of said lending institution payable directly to the lending institution loaning such monies to"Owner" nd Mill exec to a Retail Installment obligation and an documen required by such lending in�Nluliol irl tom,, connection_wt���jjj said loan. L/�v Jt j�p s (O e IVA 29. 11 r Additional lnformatio(7f^'�� A + 30. ❑ orkNottobedone 'CONTRACTOR IS NOT RESPONSIBLE FOR ANY EXISTING SECURITY SYSTEMS. PLEASE REMOVE ALL SHADES,VERTICALS,BLINDS, CURTAINS,DRAPES OR WINDOW MOUNTED AIR CONDITIONERS,PRIOR TO THE INSTALLATION OF YOUR NEW WINDOWS.INSTALLERS ARE NOT RESPONSIBLE FOR THE REMOVAL OR INSTALLATION OF THESE TYPES OF ITEMS. - CONDENSATION INSIDE THE HOUSE DOES NOT INDICATE A NOTICE.if financed,any holder of this consumer credit Connect Is subject to all clams and WARRANTY PROBLEM. defenses which the debtor could assert against the seller of goods or sera obtained pursuant here,or wdh the proceeds hereof. Recovery by the debtor shall not exceed SALESMAN HAS NO AUTHORITY TO CHANGE ANY ITEMS OR amounts paid by the debtor hereunder. MAKE ANY REPRESENTATIONS OTHER THAN CONTAINED IN "OWNER REPRESENTS TO HAVE READ AND THIS AGREEMENT AND"OWNER"REPRESENTS THAT NONE RECEIVED A DUPLICATE ORIGINAL OF THIS HAVE BEEN MADE TO OR RELIED UPON BY"OWNER".YOU AGREEMENT AND TO BE THE AUTHORIZED ARE ENTITLED TOACOMPLETELYFILLEDINDUPLICATEORIG- INAL OF THIS AGREEMENT. AGENT OF ALL "OWNERS" OF THIS PROPERTY "YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY UPON WHICH THE WORK OR THE MATERIALS TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY ARE TO BE SUPPLIED. AFTER THE DATE OF THIS TRANSACTION, SEE ATTACHED NOTICE TO THE HOME OWNER(S),GUARANTOR(S), NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF LESSEE(S), CO-SIGNER(S). THIS RIGHT.ON ALL ORDERS CANCELLED AFTER THE RECI- SION PERIOD,CUSTOMERS WILL BE RESPONSIBLE FOR A Contractor, at the expense of owner, shall procure all permits 45%ADMINISTRATIVE AND RE-STOCKING FEE. required by law as follows: 1. Owners who secure their own permits will be excluded from the THE COMPANY WILL DEPOSIT ALL MONIES RECEIVED guaranty fund provisions of I\1SL Chapter 142A. FROM 2. Any person who shall have co-signed,guaranteed or signed IN AN ESCROW ACCOUNT AT CHASE MANHATTAN BANK any credit application or note relating to this agreement hereby #105-1-062089, WITHIN FIVE BUSINESS DAYS OF ITS accepts to be bound by this agreement. RECEIPT. �grt 3. Owners)represents that the contents en the back a this agree- /�ment is a true part hereof and has been read and accepted by Date '�f/1_____7 Owner. Do not Sig this a before you read it or if 4. ALL INSTALLATION LABOR GUARANTEED 1 (ONE)YEAR. it contains any blank space or if it does not contain / /j ver Ing r on. _ Print �� Jd.J, ➢v// ////r/1.,., e Salesman's Name��7#>�" ature - (Customer Sign Here) Salesman's �j� License No. D' Signatur - SEE fiEVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS