Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
8020 W. 44th Place
t i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: '�" \ YD Z V Job Address: Permit Number:., l Ct �`•``? . ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No. When corrections have been made, call for re -inspection at 303-234-5933 Date: �" ' Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: (1-1`��,� 0 Permit Number: %( / r v - l_ it__l t ", t Yl ✓-1 I, n ry tV If. t- ❑ No one available for inspection: Time I'lY �_ AM/PM Re -Inspection required: es� No When corrections have be ade, call for re -inspection at 303-234-5933 Date: `?, kc --N Inspector: ®O NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201900436 PERMIT NO: 201900436 ISSUED: 03/18/2019 JOB ADDRESS: 8020 W 44th Pl EXPIRES: 03/17/2020 JOB DESCRIPTION: Residential re -roof with OC asphalt shingles. Squares: 22; Pitch: 4/12 *** CONTACTS *** OWNER (303)239-8971 MAGINNESS CRAIG R SUB (303)232-0324 Bill Lynn 019976 Mills Roofing Co./Decker Lane *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,850.00 FEES Total Valuation 0.00 Use Tax 185.85 Permit Fee 188.45 ** TOTAL ** 374.30 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75% of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75% of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge y . Residential Roofing PERMIT - 201900436 PERMIT NO: 201900436 ISSUED: 03/18/2019 JOB ADDRESS: 8020 W 44th P1 EXPIRES: 03/17/2020 JOB DESCRIPTION: Residential re -roof with OC asphalt shingles. Squares: 22; Pitch: 4/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Divi n. 6. Th ass anc or gra of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any al le de or r inance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dina Kemp �Z) ( � D6 From: no-reply@ci.wheatridge.co.us Sent: Monday, March 18, 2019 11:00 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dina Residential Roofing Permit Application This application is exclusively for new RESIDENTIAL roofing permits and for licensed contractors only. Permits are processed and issued in the order they are received. You will be notified if your contractor's license or insurance has expired. The license and insurance must be current before the permit will be processed. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. The Building Division permit counter is open from 7:30 am to 3:30 pm, Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a RESIDENTIAL reroof permit? How many dwelling units are on the property? Yes Single Family Home PROPERTY INFORMAT780;20st Property Address 44th place Property Owner Name lison Maginess Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 303-239-8971 Field not completed. # 1,:5 7 1� 3 Do you have a signed Yes contract to reroof this property? CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Mills Roofing Company 019976 303-232-0324 Contractor Email Address millsroofingcompany@gmail.com Retype Contractor Email millsroofingcompany@gmail.com Address Credit Card Authorization FF65B228-8FF7-4C14-B07D-470328069757.'peg Form DESCRIPTION OF WORK TOTAL SQUARES of 22 the entire scope of work:C-8850 Project Value (contractvalue or cost of ALL materials and labor) �1 Are you re -decking the CNo,/ roof? Is the permit for a flat roof, pitched roof, or both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Pitched roof (2:12 pitch or greater) 4/12 22 Owens corning i Type of material for the Asphalt PITCHED roof- Provide oof Provide any additional House detail here on the description of work. (Is this for a house or garage? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. 9 Person Applying for Robert Lynn Permit Email not displaying correctly? View it in your browser. Certificate • Completion Building Division 7500 W 29TH AVE WHEAT RIDGE CO 80033-8001 Permit#:20121319 Issued: 11/08/2013 This certificate verifies that the building constructed and/ the use proposed • the building and/or premises, under t above permit number and on property described below, does comp with the Wheat Ridge Building Code and development standards the zone district in which it is located and may be occupie All other licensing re e e or the e e quirmnts f City must b mt. • Owner: PLETCHER CHARLES LEVI / PLET] 8020 W 44TH PL WHEAT RIDGE CO 80033-3206 Contractor: For the Following Purpose: HO Interior Remodel Code Editions NO change shall be made in the USE of 2012 ICC/2011 NEC this building without prior notice 606 ICC/2011 NEC and a new Certificate • Completion 2006 ICC/2005 NEC from the City of Wheat Ridge. Other CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line 3 '303)237 23, Office - (, -8929 Fax Inspection Type 6 14� 6T R I e C )C A),+ L_ Job Address /V Permit Number Feo w- 0 No one available for inspection Time T m Pm Re-inspection required Yes No 1111%jilli Jill'' III A M I. jIJI Date: 11-b)-13 Inspector: � fwq CAN of" W 1 a-t COMMUNi'rY Di.vr Building & Inspection Services Division 7500 W, 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303--237-8929 Inspection Une. 303-2,34-5933 FOR OFFICE USE ONLY Date: pron1pennit# Ofr c ` WEENMEMEM Building Permit Application P COMPtOte all highfighWd areas on both al d 0 s *f this fOfmw 1 "COMPNOO OPPNCafions May not be processed, Property Address: � +h —3- �'-) - -77' T`4 -- - ------- A 1A I CU. I 2 C f(J( Mailing Address. (if dfferent than property address) Address: N ArchitectfEngineer E-mail: �1-3 tkj d Phone- '7 5C , C Contractors City License Phone: f i Contractor E-mail . .., ' ' ..� �a n� n Sub Contmetors: EfectricM: Rurnbft: Mechanic�W: K R, City License # W, R, City Lice se MR, City License Other C4 Licensed A-ib! Other 04 Licensed Sub City License # City License # Complete all information on BOTH sides of this or 22!kdgggMgt�KK (Check all that apply) Sq. FULF ta, o " , �!, - q< )I ( �4 1 11- J J_ 23 50 OrPll Stu's Gaftons Amps Squares Other �g*zm IliTUMMIR - > 3r 802- W. � P�- w4e"+ f.2.® CO. 90.2 P<+ *«<> )O�x (Pleaseprino: C. Itv,* p�v! Phone: Zm= ME= Address: City, S \ \ \ Hor4t ow-qt When Recorded Mail To: PINNACLE 14ORTGAGE GROUP, INC 3605 SOUTH TELLER STREET LAKEWOOD, CO 8 0 2 3 5 ATTN:POST CLOSING DEPARTMENT (303) 716-9000 ace A This Line For Recording Data] le-1 36628 Page I of 6 FRA Colorado Deed of Trust - 10195 8020 44TH PLACE BA'atRoom $020 # 44TH PLACE FIREPLACE 9020 W. 44TH PLACE KITCHEN " INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE ` INSPECTOR _ INITIALS .COMMENTS:' Footings /Caissons Stemwall /.(CEG) Concrete Encased Ground Reinforcing or Monolithic - Weatherproof / French Drain :Sewer Service Lines - - Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD: BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. ROUGHS - Sheathing Lath / Wall tie Mid -Roof Electrical Service 'Rough Electric Rough Plumbing - Gas Piping INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD: BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Rough Mechanical � ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY: I: S ISSUED..FINAL INSPECTION BY THE BUILDING DIVISION. DOES NOT CONSTITUTE AUTHORIZATION \ -. OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. 1 FINALS ` Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD: BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. ` Parking &.Landscaping � ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY: I: S ISSUED..FINAL INSPECTION BY THE BUILDING DIVISION. DOES NOT CONSTITUTE AUTHORIZATION \ -. OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. 7CCUPANCY NOT PEF 4 a 1ITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED DTECT THIS�CARD FROM TH VVEATHEl2 INSPECTION RECORD Occupancy/Type rly - INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. 1 F Do (0(01 INSPECTOR MUST SIGN ALL SPACES PERTAINING 'ToTHIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Encased Ground `. Electrical Reinforcing or Monolithic Plumbing Weatherproof /French Drain .Mechanical Sewer Service Lines Roof - Water Service Lines Building Final . - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) ROW & Drainage Plumbing (Underground) INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. 'Parking &Landscaping Heating (Underground) - - ROUGHS - Sheathing - - -- insulation Lath /:Wall tie - Drywall Screw Mid -Roof Electrical Servlce Electrical Rough Electric Plumbing Rough Plumbing .Mechanical Gas Piping Roof - Rough - Mechanical Building Final . - Framing - -- insulation - Drywall Screw FINALS,. Electrical Plumbing .Mechanical Roof Building Final . Fire Department ROW & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. 'Parking &Landscaping ** NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A 'CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF ACERTIFICA TE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER 301ION S11413AOW3N ION 00 :aoloodsul a110rlS- :ale(] EE69 681-£OE ;s uggo®dsqpej jo/ //eo `opew ueaq eneq sug1;3eJJ00 ueyM. sa) :paalnbaa uoiloadsul -aa Wd' W d — 5:4,.11 ewil :uoiloodsul jol algeliene auo ON ❑ I / : 7J60/ :aagwnN alwaad 7r1 n" ®e<24 :ssaappV gop :adAl uol ;oadsul 30110N N01103dSNI X04 6M (£0£) • &ZWO 998e (£0£) eui/ uotaoadsu/ SE68-PW (806) uoislnia uol;oadsul 6uiplin8 30018 1V3HAA d0 A110 1 r City of Wheat Ridge Res. Miscellaneous PERMIT - 100661 PERMIT NO: 100661ISSUED:: 0.3/12/2010 JOB ADDRESS 8020 W'. 44TH PL`. 'EXPIRES: 09/08/2010 DESCRIPTION: Replace 230 if ft of soffit and fascia CONTACTS owner 303/994-2735 Pletcher sub 720/937-8340 Brian Densmore 10-.0071 BW Builders -PARCEL INFO ZONE :CODE: UA FUSE: UA SUBDIVISION::. 0315 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,300.00 FEES Permit Fee ` 126.50 Tntal Valnatinn On e. TOTAL .185.90 =✓iW 'onditions: object to field inspections. I hereby certify that the setback distances proposed by this permit application; are accurate, and do not violate applicak ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on 't application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (1.13.C) and all othe applicable W(eat Ridge Ordinances, for work under this permit Plans subject to field inspection. Si atur of contractor/owner : date Th permit was issued in accordance with the provisions set forth in your application and is subject to thee. laws of t ate of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of. the City: This permit shall expire 180 days from the issue date. :Requests for an extension must be received, prior to expiration' date. An extension may be granted. at the discretion of the Building Official. If this permit expires, ;a new permit may be acquired for a fee of'one-half the amount normally required, provided no changes have been or will be made in the original plans: and specifications and any suspension or iabandonment has not exceeded one )(1) year. If changes have been or if suspension or :abandonmentexceeds one (1) year, full fees shall be paid for a. new permit No :work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and snail receive written approval on inspection card before proceeding with successive phases6 of the job. The issuance of a permit or the approval of 'drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation'. All plan reviw -subject to field inspections. ignature o IrI BuildmgJOfficial date NSPECT N REQUEST LINE: (303)234-5933 :BUILDING OFFICE: (303)235 2855. EQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE :FOLLOWING BUSINESS DAY. City of l seat 1C~ Date: - COMMUNITY DEVELOPMENT Plan # Building & Inspection Services Division Permit # i 7500 W. 29t" Ave., Wheat Ridge, CO 80033 I Q~l~ Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Property Atl~iress= fj©a D /.rJ, S~T~~~ Property Owner (please print) Phone3o5-99fC-a q3~ Mailing Address: (if different than property address) Address: City, State, Zip: Coijracto: Contractors City License /x_007/ Phone: 5D-_ajf psSL3 Sub-Contractors) Electrical: Plumbing: Mechanical City License # City License # City License # Descrtation of work+ ~ !}`~/r2ol~z ~~P14c~ l itH~~° ~FF~ ' n" 1~ +r~~5 Contract Value: 11 $ 3300. Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. $ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate, applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility . for compliance with applicable City of Wheat Ridge codes and ordinances for. work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) Cr (AUTHORIZED REPRESENTATIVE). of (OWNER) (CONTRACTOR) PRINT NAME: SIGNATURE: DATE: c ~ 4~,r~~ r f ,l~ f~ S 1"' sh~~l r t H ~ ✓ ~ l ~ PIREbEPJ+RTMeN7; `p approvedw/aomtneitts OdisepproVe~l 1J n~eviewjequired Bldg Valuation $ ♦ i CITY OF WHEAT RIDGE f (3 Building Inspection Division (303) 234 -5933 Inspection line 03) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION N Inspection Type: Job Address: Permit Number: b> , 4. E �o F ❑ No one available for inspection: Time i AM /PM Re- inspection required: Yes _ No When corrections have been made, call for re- inspection at 303-234-5933 Date: i ll G Inspector DO NOT REMOVE THIS NOTICE S. `V CITY OF WHEAT RIDGE ' Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax i INSPECTION NOTICE Inspection Type: Rock IY\ Job Address: 20P O (,i F~ f Permit Number: ' ooS59 ❑ No one available for inspection: Time JX a-0 AM/ Re-Inspection required: Yes Ala When corrections have been made, call for re-inspection at 303-234-5933 Date:` f Inspector: 1 t1 DO NOT REMOVE THIS NO~CE ^ City of Wheat Ridge Building Division 5 Date: m 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Plan - o Inspection Line: 303-234-5933 c<orxno Permit 1t,0 Building Permit Application PropertyAdiress Property Owner (please print): c /g✓,TGY~2 Phone: _3;o3 = jyfL-ay S- Mailing Address: (if different than property address) Address: City,State,Zip: )fir eo S'~c3 Contractor: 256/t) ~nS Contractor License Phone: 7'4 J3 j- a p Sub Contractors: Electrical City License Company: Exp. Date: Use of space (description): Description of work; Plumbing City License Company Exp. Date: Mechanical City License Company: Exp. Date: Value: Data sheet) ) Plan Review (due at time of submittal): $ ) Sq. Ft./L. Ft added: BTU's Gallons Amps OWNER/CONTRACTORSIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that 1 have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTO ) or PERSONAL REPgESE E of (OWNER) (CONTRATOR) PRINT NAME: , iS~/lq.V Gv, .7D~stJ,~wicyt~ SIGNATURE: L Date:-5- ?-/0