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0172 SIXTH AVENUE (HYANNIS)
' I F, i Assessor's map and lot number . . ...... ..�... , ..,.. 6u/�,caj h° r� U.b�•f!�/E j� �'i �oF THE Tp�� eewage Permit number Z BARNSTIBLE, i House number .fir®. ............................................................ r rAsa ' 0 MPY Fr TOWN OF . BARNSTABLE BUILDING INSPECTOR APPLICATION"FOR PERMIT TO ....... '. ... �,,............................ TYPEOF CONSTRUCTION ............................................. .:.........:.......................................................................... TO THE-INSPECTOR OFBUILDINGS: The undersigned hereby applies for p rmit according to the following information: Location ............... Q .. •r•• ........ ....................... . ... ... ........................ Proposed Use ..... �....................... Zoning District ..... .............. ...:...............................................Fire District 1Y�'! ...... Nameof Owner . ......l�Y ...:.........Address ....................,:.............................................................. Name of Builder l.! . '??! ..... !'............Address Nameof Architect .......................................Address ...........................................................................:........ Number of Rooms ............... ............................................Foundation .....rf Exterior ......................A/ ................... ..........., .........Roofing ....... .... Floors ............Interior ...... e Heating ..........Plumbin Fireplace ................1.................................................................Approximate Cost Definitive Plan Approved by Planning Board ------------------__-----------19________. Area q7�. #.................. Diagram of Lot and Building with Dimensions g 9 Fee .................. . ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH ' G %A 6 1 �3�^ lZxi� iy� olf I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. S Name .............. Yt WILLIAMS , CA^ON No 2.2.0.7.3..... Permit for ................ Fire Damage ...................................g......................... ................ is I Location ....5.0.7...Sixth...Aye.n.ue................... . . .. .. ....... .. .. .. .... .. ............... .................. Owner.......Caxlton...Williama.................. Type-of Construction .....F.r..ame........................ ............................................................................... jPlot ............................ Lot ................................ Permit Granted .......Mil.rch....2.6............19 80 Date of Inspection ........ 19 b'r r� V, Date Completed .............................. .......19 PERMIT REFUSED ........................................I................:_:�.... '19 ................................................................................ ............................:.................................................. I.........................I..................................,.................... .......................................................... ..................... Approved ..... 19 . ........................ ...................................................... . . ................ ........... .................................................. Assessor's map and lot number r ,��.,,,, rr ........... J �l `O_ �` C S� G'�� �i�rC �� J �� �Z r,/�rr�sa5 � iTNEtp�4 Sewage Permit number ... ..:6` ... fia d�fryl[c ..... .......... ...... 5fr!`l�•+i � `•`� • Z BARNSTABLE, i House number ..:��..P3`7............................................................ 'oo M639 00 �e �Q MPY A, TOWN OF BARNSTABLE, BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......... ........M ,'t.r'a- ' s-.,................:... u................................... TYPE OF CONSTRUCTION .........................................::".-1 ................................................................................ .................. :.. ............19.:x TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appliesfor a permit according to the following information: Location ................ ... ........` ....... '7 .hc C;:.................ti! ...!............./, .... �................. Proposed Use ....... ... � a� ......................................................................... ....... ZoningDistrict "-'........................................Fire District ....................:." I �...�........ ............ . ... .......,..................................... I _ Name of Owner C'.!w r....f .%.............Address .................................................................................... Name of Builder .c + .r..................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...............i�,;.Z..............:...............................Foundation ..... .............................................. / ' Exterior ......................�`.1!...�i.-:................................................Roofing ��� �/,l./�O . t _ '�//�Ru' r Floors ..........................................................._....Interior ..........:�.......,............. ..................................................... Heating � ....... �i........................ I..Plumbing .................................................................................. ~ r Fireplace ..:..............................................................:....:.....:'....Approximate Cost ....... ..................... ....................................... Definitive Plan Approved by Planning Board -----------_------_-----------19________, Area .....,,...���?..�.r.'................... Diagram of Lot and Building with Dimensions Y,,r Fee .....41 ,:;2....................................... 4r` SUBJECT TO APPROVAL OF BOARD OF HEAL THj€, 2 z-, l 7.-x /2 z T h . J! I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .............. .. ^ . . . . . . WILLIAMS, A=245-97 � No22.0.7.3..... Permit for -'Joplae,�e''---'' � ----'J�i�e _.--_-...----- � �__-_�._ 2 Location Si-x.th..Avemoe-.----.. � ------IVeat.. ------ ` . Owner ......Carlton...WilIiazo...-..---.. � 'vpo o. Co,uxvpio . ^ ' � . Plot i . � Permit Granted � - Date of Inspectio -_- Completed /- �.....rj ---- ' ^^------'' ---^'' � ^ / .............................................. ............................... � ' ' ........................ ....................................................... '--'~~- —^'~- - `W Approved ----------=--..--' 19 ----^---^-'-'---'—^^''—~--^^^-'-' � ----^----^^~^^'-'--'-^^'^-'`^^^^^^-^ | � � __ l ao1308'� � 3 Town of Barnstable *Permits �^ Regulatory Services �(-PREQ p 1Y '�tvsresta. MAIM Thomas F.Geller,Director Nov 2 2 2013 Building Division Tom Perry,CBO, Building Commissioner OV 13ARNSTABLE 200 Main Street,Hyannis,MA 02601 TOWN www.town.bamstable.maus Office: 508-862-4038 Fax:508-790-6230 EXPRESS PEMT APPLICATION RESIDENTIAL ONLY Map/parcel Number S D Not Valid without Red X-Dress Imprint Property Address 17z 96 Residential Value of Work/Ztyy 3 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �5 17 Z ta-,Nt Ave- AIA 047 2 N /��- o-Lo z Contractor's Name.S E N Telephone Number Home Improvement Contractor License#(if applicable) 173 3 c;� y Construction Supervisor's License#(if applicable) [9(Workman's Compensation insurance Check one: ❑ I am a sole proprietor ❑ lam the Homeowner L� I have Worker's Compensation insurance t Insurance Company Name At- 110/ya,l- =Tav—:5 . 1 Workmen's Comp.Policy# ./1'..�C'' / ? Copy of Insurance Compliance Certificate must accompany each permit. Permit R uest(check box) [j Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of root) ❑ Re-side #of doors Replacement Windows/doors/sliders.U-Value, 0 (maximum.35)#of windo s ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required.*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A cop of the Home Improvement Contractors License&Construction Supervisors License is" equ �. SIGNATURE: C:\Users\decollik\AppData\LocalWicrosott\Windowffemporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 I , Southern New England Windows d.b.a Renewal by Andersen of SNE 'Massachusetts Department of Public Safety. Board of Building Regulations and Standards 'Construction Supen kor Licenser CS-095707 ' BRUN D DENMSON 7 LAMBS POND CIRCLE Chariton MA 01507 0/I �, r Expiration. 'Commissioner 09108/2014, oweirrur�ea �� R _ Office of Consumer Affalrs�n Business egu an . 10 Park Plaza-Suite 5170 Boston,Massachusetts 021,16 t' Home Improvement Contractor Registration Registration: 173245. - - - Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL•" Elmilatan: 6/1812014 DENNISON BRIAN 1137 PARK EAST DRIVE WOONSOCKET,RI 02895" - - • Update Address and return card.Mark reason for change. . su 1 o zoucsgi - ❑Address. [I Reoewst 0 Employment Lost Card - mee of Co soma AITairs&B sleep Regnle600 License or registration valid for Mdivldul use only el- :LIAPROVEafENT CONTRACTOR before the expiration date.It found return to: r ' ofct of Consumer Affairs and Business ReIgulatim - . - egistration: 173245 Typo: top Plana-Salta 5170 - + ' . Enpl21{an:,9IM014 Sup pkanenl;And Boston,MA 02116 - SOUTHERN NEW ENGLAND WINDOWS I.I.C. RENEWAL BY AND ERSON . _ 1137 PARK EAST DRIVE ��— F�,1 •. - . ` WOONSOCKET.RI 02895 Uoderserretary Not valid without signature ` " �;r.• The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations <. 600 Washington Street Boston,MA 02111 3= www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibl Name(Business/Organization/Individual): �/11 LLr✓ Address: 02 (oaffiiod 90—a City/State/Zip: 41"A/co/V 92865 Phone#: 410 �YoO Are you an employer?Check the appropriate box: Type of project(required): 1.[!a I am a employer with o2 C) 4. [� I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• Demolition ` working for me in any capacity. employees and have workers' 9. ElBuilding addition [No workers' comp. insurance comp.insurance.$ required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l I.[]Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t C. 152,§1(4),and we have no AA employees.[No workers' 13Other �1 NAt7 comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy nformation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: SUI—QillJ a.N Policy#or Self-ins.Lic.#:Ale, q1,=r2!71l V.?3 S21 Expiration bate: tV Job Site Address: /72- tg i-rr 4L)e-- City/State/Zip:4i�/S of t 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 MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investiizations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true nd correct c � Signature: Date: 11 /� 13 _ Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one) ` 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Client#:30124 SOUTNEW DATE(MM/DD/YYYY) 'ACORD.. CERTIFICATE OF LIABILITY INSURANCE 8/06/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT Anita Little PRODUCER NAME: Willis of New Jersey,Inc. n/c°No.Ext:856 914-4660 A No): 856-914-1881 1015 Briggs Road,PO Box 5005 A DRESS: anita-little@willis.com PO BOX 5005 INSURER(S)AFFORDING COVERAGE NAIC# Mount Laurel,NJ 08054 INSURER A:Selective Insurance Co of the S 39926 INSURED INSURER B:Argonaut Insurance Co. 19801 Southern New England Windows LLC INSURER c:Beacon Mutual Ins.Co. 24017 D/B/A Renewal by Andersen INSURER D _ -26_Albion Road___ _T_ INSURER E. — - -- _ -- Lincoln,RI 02865 • INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCE NSRLSUUR WVD POLICY NUMBER MMIDDY EFF MPOLDDY EXP LIMITS A GENERAL LIABILITY S202945900 8/10/2013 08110/20`14 EACH OCCURRENCE $1,000,000 X COM X ANY AUTO GENERAL LIABILITY DAMAGES(RENTED PREMISES Ea occurrence $1 OO 000 CLAIMS-MADE 51 OCCUR MED EXP(Any one person) $10,000 - PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $3,000,000 POLICY SCOT LOC COMBINED SINGLE LIMIT $ A AUTOMOBILE LIABILITY S202945900 8/10/2013 08/10/201 Ea accdent 1,000,000 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS AUTOS Per accident $ A X UMBRELLA LIAB OCCUR . S202945900 8/10/2013 08/10/201 EACH OCCURRENCE $5 OOO 000 EXCESS LIAB CLAIMS-MADE - AGGREGATE $5 000 000 DED RETENTION$ $ C WORKERS COMPENSATION 0000068028-RI 8/21/2013 08/21/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECuT -J NI NIA A AIC927818352394 8/21/2013 08/21/201 E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? 11I (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under OOO OOO DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Southern NE LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 26 Albion Road ACCORDANCE WITH THE POLICY PROVISIONS. Lincoln,RI 02865 AUTHORIZED REPRESENTATIVE SJ++ r ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S215109/M215088 AXL / "� � e� iG . rryf 14c1ycrl:! ht-rrd Soudi-v It Ir7l nr Y.GAaO V91ndo s,UX!AV :i l�rn :cal Ilk ?uidi sen jjr Si-a i-,L:ru N c4r&;; iuwl f�4iul�lrbcAr�r 1;,uv uetuuEhmiC,r witli,the vtrwA a'St9rYd conditiom.,ectG5�ht tl.-3I. eat rr,I It almd Ow ell. 144%x r+zrin;3n.u -1 en QIW:Lunc ted gxcificiti n ri��8��{i v�h�i�;r�al.l;ein is"r�1Sr'+a9m�mr_"j. Q ;WLgariC 0 Conte 0 HOAT Tvil jobAmounc eel Esdmaccdl5uard;-SDzDr.. i�l'ech.od'as'f'�,mnc�+t: o Chack 4Cuh n.ed Dep�lc�;ecsi�a�l�d�lf� �f/ � e ' sir��are aaeepeedi r�r�depaxc ek;l�- �u�n I r3 cf cl+� prcjact COST. stc CM&Cmd,ftyror f• Bar Sir,ft try fii'arce a:'Starrc n Su Es rraaa'. omp7t �aoa A�-r X�,*ekrtawi"e�(ent €o Mr±m�t Scat cf'jabanl d+o f' l r c ga•5 a al --fa'f'` +�+��'! ` n �Subcr, +mil C�:npiccr..n of z'camas to MW0by4F124k. Ccmpledon � �)P J� cfrd and the&bankcha: .orcaA. Bwrar(o�) a,,greez and avn,darstaada,llhat thi*Agrerment ozlitiitutt&tht entff'c 13-nderstant ing fie the parties,and aLac there- awre no verbal understandinp,changig imy of the(crAts of this AErccutent. Buxer(l) acknindedgeatht Buyer;s)' (J) har:reaad this Agreement, the tererom of this A9memvnrta and;has.recelmd a cony Ticted,rimed, and dated. eras of ttuiao Agreement,,iftel%dinif,the too atba..ehcd Noes of Cnnceilat3Qn„on the iro,rst'Kaniuexu ouos�and'("y W"vr-4Y informed of Buyeen eight to eeli MB VftM At,,DO:YOT wax TM9 CONTRACT IF � '.' ARE;.NNY MANll♦;SPACM$. fRhodeI$!'and&W tl, eay` f tna hae rarftno , gF tEn.,s e6 tbe.ent$nt crl�tl..as saviaElahl it orti itiirn,aJfi;L+rtC:lr1r>lc.(A9' tB s,k r+eernemt at the time YOUAV R. 3) You Bona at any time payoff the f .zll unpaid I�almce due titer�e a��r,eenene,,and in me doing;you mway'he-e-Ad"lei to t Cei;+►'e l jlaTV118l rebate of the rivaunce and',insurances char es.(4)The®tHer,has no Eight to unhmfuRy tatttr your premises ON6 CR h t n}+ 4r tl a peau_e to aa,�cs jaell'sv g cua 'under eh 1�A�grecrnwn 9S Tt'vrm.aaayp ctaneel'rh�A,g�cem.eac 6S is lr ati sec brr.n a gneil,ra.t,fibs anaias olBee ar s Israa�a S ee c►f the sel�ctr,prcn d'ed)_QUno r cbo sellac At lus of lftor nAa , payee or branch aflice xhovm in,the-Al3seement br)r*SW- a Qd or certified 1 u which"i be.posted not later than m daaie0.t off'the third catendaor dale niftier the day on.which.the tmYC--.r signs:the Agrccm=t�emcIudisg Sunday and any.,holiday on,which, eegaalatr it ilel,k+ _10-s ne�4,not.made.Scc Ae!accounpan,yf*nattac of canctRadam form for an:exp1anallom at"bw7cc'R rigats. Tu? 'rr % l .:; slewlax: ; �.�in:acsrird�{�a;?�rid�r3:, - 1. ►.t1r„ r ' ,,+ �Irhs,:.J acw91 by. eau Or'Saathernl Nev En,,0�andl BaDyed,�a4 Buyer( 7' Ryz 11�Iac/rd`1" ct \1.1 rryr. � u.�l� ;,i,►� I,iti1 . Vl �2 I'filtl`-iffinn qG'6'ra5e111r.A.1 LiRtigrT• Pefin Krarne PI'JLl1,Naxwu YtIU; THE c - TMSSAGtr . T . ra TJ rlrm r ► IxH OF rates' BUSINESS DAY A "ER THR MT.F.'pl;iR T"NSACLT,l.ON:SAI THIS 4TT CIRIM NOTICE Of CAN JAM ON FORMS, FORAM EZMVNAT10N,OF TH['S R�JGHT: , NOT!ICE OF L»L TION �- - - - -- _ 9NMI,CE OF CAMM4AT,MINI Date of Tr-msacEcon Taw rir eanco_ I Date of T�ansacdo n __ .You `��. this tmnsac ien„wRthaue any, pc�naTty or esfatigntl`en. w el,In this transact0aan„wltkwe�t arayr pe ► or.vhlag tian,wltf In tlhlr 'busilness days from the aba"!&tea it yvu: canc4l„any, I the*business days. m !fie a6mc date.- If i+4u':C�r1c@l,anyr lrropertya traded in,.any ?r*nents mtatit; fey, under,the. t Pro rtX trsdmd h►.snyr P"3l►ara at cnadv by you under clew Co6flract or SW,1%and arty Ins,$otiAhle instrument executed I Contract air Sale,and any negot['able Instrumentmecuced' by you will he returned vrrl€hin ten husincss digs ivllowing I' by,your will)be returned vrtithlay tenbu5lnax3 days Followingrsceint by the Seiler of ycmr cwacell oon notice. and any- I receipt by the~ .5e1Cer of your caneenation no t`, tnd any Security interest aAdng out of 6e transaction will �b�e security' interest: arlsi'ng, out o,, the transacdoca wiq be cance�td�If you cancan you Must ntak ,OftHable,to tErc Bo[I'elr I. cancel'ed.if Your cance4you nms*t makn available to o the Saber ce,lfn substantfa,lly as goods condition as:when, f at:your residence,de�ce,in substa , ally�i eo�l)condition as whon; at your residen If ! I Sale;,or you rrrayr„if you wilt �i .W Qf a goods o t of ropetivi5d a sods,delivered to u under this Contract or I retelweti',my.joods dc11rrvmdl to yrod under tlhIs Contra. rislt.K u do male the ods Wfaln& le Sale;or you rrrayrl year wish.com wCtlr�t6rs,inttra�ct�n:�n merit of lFl the r p $ t thip tISC Sf3II21'a"e$�akdlf7$the M"8turn�SllaF '�i g00'd#fit;tlbe •, tll��ielll@�reg�reli�g Seller's expens4 sad rlsl Ili you do rtnalae the Ids avaliahC$ SeO '�c RN nsc and you iabl�` to the SeGler► and cfne Seller'does not Flcfc d+erxo up wlA.thirr to. the Sal and tho S4lleir discs not pick therm up within; twenty, tl 9 of the date of caimeltaclen„.you maY' rawn or I tvrentr dgyrs of the date of cartttli'atddn*,you raisin or dispose y the good's wlthaut any f6itiher obligation.if YaMr I dispose: of the guard's wlttmt any fUrth.er obligation.if you' fail to make the goods waiilable to the Seller,or if you agr�eit i fill to ratalce-dw�mds araifal�e Iba tfi.l SeJ ler, .Lf�rou agree, to rccurn,the goods to the Sie'llelr and fall to do sv„then tea, I to,fetug7l the goods to the�S�el`ler a d fall to do so„t.ban you: a+eel�lin yi�lb'I'e for perfoa�rmance of all obtigatrans under tine r+err�la liiibl� (oa perkrrrnanca of all:4lyltitli8ltis under, thA Contri-x T c;aaval th it trinsa�Ony,retail ar&diverx:liy,ptdt I' Conhraet.To candd ehl's tN','l�t9SeN4�iUI Ma11 Q�'tlayllvtr SleAed' and dated copyr of this cancellation nadce or an atlrev I and dated: copy of Oils camelladon� natke or any tither ... . _ ai..... .... ..- �_.. ._.a .�_..'-•_-_ .:.I a