n603rn.pdf by Federal Aviation Administration
Author:Federal Aviation Administration
Language: eng
Format: epub
Tags: documentcloud;cir
Published: 2012-08-12T16:00:00+00:00
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A. THE AIRCRAFT DESCRIBED ABOVE HAS BEEN INSPECTED AND FOUND AIRWORTHY BY: (Complete the
only if 14 CFR part 21.183(d) applies.
1 S
5 (3 i
2 < u.
14 CFR part 121 CERTIFICATE HOLDER
(Give CertifiCBte No.)
CERTIFICATED MECHANIC (Give Certificate No.)
CERTIFICATED REPAIR STATION (Give Certificate No.)
AIRCRAFT MANUFACTURER (Give name or firm)
U- UJ —
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X. CC
a. uj
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(Check ALL applicable block items A and B) A, I find that the aircraft described in Section I or VII meets requirements for
B. Inspection for a special permit under Section VII was conducted by:
DISTRICT OFFICE
PHC£fJ> X HIOO
THE CERTIFICATE REQUESTED
AMENDMENT OR MODIFICATION OF CURRENT AIRWORTHINESS CERTIFICATE
FAA INSPECTOR
CERTIFICATE HOLDER UNDER
FAA DESIGNEE
14 CFR part 65
14 CFR part 121 OR 135 | UCFRpart 145
DESIGNEE'S SIGNATURE AND NO.
FAA INSPECTOR'S SIGNATURE
FAA Form 8130-6 (10-04) Previous Edition Dated 5/01 May be Used Until Depleted, Except for Light-Sport Aircraft
NSN: 0052-00-024-7006
«
A. MANUFACTURER
O tn 3 UJ O I-O H
a i a. o
B. PRODUCTION BASIS (Oiec* applicable item)
PRODUCTION CERTIFICATE (Give production certificate number)
TYPE CERTIFICATE ONLY
APPROVED PRODUCTION INSPECTION SYSTEM
C. GIVE QUANTITY OF CERTIFICATES REQUIRED FOR OPERATING NEEDS
DATE OF APPLICATION
NAME AND TITLE (Print or Type)
A. DESCRIPTION OF AIRCRAFT
o F o
C. CREW REQUIRED TO OPERATE THE AIRCRAFT AND ITS EQUIPMENT
CO-PILOT
FLIGHT ENGINEER
OTHER (Specify)
D. THE AIRCRAFT DOES NOT MEET THE APPLICABLE AIRWORTHINESS REQUIREMENTS AS FOLLOWS:
E. THE FOLLOWING RESTRICTIONS ARE CONSIDERED NECESSARY FOR SAFE OPERATION: (Usb attachment if necessary)
F. CERTIFICATION -1 hereby certify that I am the registered owner (or his agent) of the aircraft described above: that the aircraft is registered with the Federal Aviation Administration in accordance with Title 49 of the United States Code 44101 et sea, and applicable Federal Aviation Regulations: and that the aircraft has been inspected and is safe for the flight described.
FAA Form 8130-6 (10-04) Previous Edition Dated 5/01 May be Used Until Depleted, except for Light-Sport Aircraft
NSN: 0052-00-024-7006
J
UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION
SPECIAL AIRWORTHINESS CERTIFICATE
Any alteration, reproduction or misuse of this certificate may be punishable by a fine not exceeding $1,000 or imprisonment not exceeding 3 years, or both. THIS CERTIFICATE MUST BE DISPLAYED IN THE AIRCRAFT
IN ACCORDANCE WITH APPLICABLE TITLE 14, CODE OF FEDERAL REGULATIONS (CFR).
FAA Form 8130-7 (07/04) SEE REVERSE SIDE NSN: 0052-00-693-4000
UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION
SPECIAL AIRWORTHINESS CERTIFICATE
CATEGORY/DESIGNATION Ej(penmerital:(^rjmannecl Aircraft)
PURPOSE Research and r^^g>i^ent^Qt'ey^Tte|ning, ajffior Market Survey
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