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    337 Faa

    Uploaded by

    William Lo
    This document is an FAA Form 337 detailing major repairs and alterations made to a Piper PA-18 aircraft with the nationality and registration mark N# 5480H. It was completed on 1/10/2018 by Big Sky Aircraft, a certified repair station, located in Salt Lake City, UT. The work involved installing Northern Air Frames brakes booster in accordance with the appropriate drawings and STC, with a negligible weight change. The work was inspected and approved in accordance with FAA regulations.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    337 Faa

    Uploaded by

    William Lo
    897 views3 pages
    This document is an FAA Form 337 detailing major repairs and alterations made to a Piper PA-18 aircraft with the nationality and registration mark N# 5480H. It was completed on 1/10/2018 by Big Sky Aircraft, a certified repair station, located in Salt Lake City, UT. The work involved installing Northern Air Frames brakes booster in accordance with the appropriate drawings and STC, with a negligible weight change. The work was inspected and approved in accordance with FAA regulations.

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    FAA 337 form

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    337 faa

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    This document is an FAA Form 337 detailing major repairs and alterations made to a Piper PA-18 aircraft with the nationality and registration mark N# 5480H. It was completed on 1/10/2018 by Big Sky Aircraft, a certified repair station, located in Salt Lake City, UT. The work involved installing Northern Air Frames brakes booster in accordance with the appropriate drawings and STC, with a negligible weight change. The work was inspected and approved in accordance with FAA regulations.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    897 views3 pages

    337 Faa

    Uploaded by

    William Lo
    This document is an FAA Form 337 detailing major repairs and alterations made to a Piper PA-18 aircraft with the nationality and registration mark N# 5480H. It was completed on 1/10/2018 by Big Sky Aircraft, a certified repair station, located in Salt Lake City, UT. The work involved installing Northern Air Frames brakes booster in accordance with the appropriate drawings and STC, with a negligible weight change. The work was inspected and approved in accordance with FAA regulations.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    MAJOR REPAIR AND ALTERATION

    U.S Department of
    Transportation (Airframe, Powerplant, Propeller, or Appliance)
    Federal Aviation Form Approved Electronic Tracking Number
    Administration OMB No. 2120-0020
    2/28/2011

    For FAA Use Only


    11/30/2007

    INSTRUCTIONS: Print or type all entries. See Title 14 CFR §43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for
    instructions and disposition of this form. This report is required by law (49 U.S.C. 1421). Failure to report can result in a civil penalty for each
    such violation. (49 U.S.C. §46301(a))
    Nationality and Registration Mark Serial No.
    N# 5480H 18-71
    1. Aircraft
    Make Model Series
    Piper PA 18
    Name (As shown on registration certificate) Address (As shown on registration certificate)

    2. Owner
    Address 551 N 2200 W
    Jaime Horning
    CitySLC StateUT

    Zip 84116 Country USA


    3. For FAA Use Only

    4. Type 5. Unit Identification

    Repair Alteration Unit Make Model Serial Number

    APPLIANC
    AIRFRAME E
    AIRFRAME (As described in Item 1 above)

    POWERPL POWERPLANT
    ANT

    PROPELLER

    Type

    APPLIANCE
    Manufacturer

    6. Conformity Statement
    A. Agency’s Name and Address B. Kind of Agency
    NameBig Sky Aircraft U.S. Certificated Mechanic Manufacturer
    Address552 N. 2222 W. Foreign Certificated Mechanic C. Certificate No.

    CitySalt Lake StateUT Certificated Repair Station Certificat # S00877235


    Zip84116 CountryUSA Certificated Maintenance Organization

    D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto
    have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information
    furnished herein is true and correct to the best of my knowledge.
    Extended range fuel Signature/Date of Authorized Individual
    per 14 CFR Part 43
    App. B

    7. Approval for Return to Service


    Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the
    Administrator of the Federal Aviation Administration and is APPROVED REJECTED

    FAA Flt Standards Person Approved by Canadian


    Manufacturer Maintenance Organization Department of Transport
    Inspector
    BY
    Other (Specify)
    FAA Designee Repair Station Inspection Authorization

    Certificate or Signature/Date of Authorized Individual


    Designation No.
    Chien Ta Lo 1-/10/2018
    S00877235
    FAA Form 337 (10-06)
    NOTICE
    Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be
    compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements.

    8. Description of Work Accomplished


    (If more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.)

    N# 5480H 1-10-2018

    Nationality and Registration Mark Date

    Installed the Northern Air Frames Brakes Booster in accordance with drawing No. 8400 and STC SA2318NM, weight change negligible.

    Additional Sheets Are Attached


    FAA Form 337 (10-06)
    Paperwork Reduction Act Statement: The reason for collecting this information is to track major maintenance
    performed on aircraft. The collected information is used as part of the aircraft's historical file. The public reporting
    burden for this collection of information is estimated to average 30 minutes per response. Responses are mandated by
    14 CFR Part 43. Collected information becomes part of the public record and no confidentiality is required. An agency
    may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a
    currently valid OMB control number. The OMB control number associated with this collection is 2120-0020. Comments
    concerning the accuracy of this burden and suggestions for reducing the burden should be directed to the FAA at: 800
    Independence Ave. SW Washington, DC 20591, Attn: Information Collection Clearance Officer, AIO-20.

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