STC SA280SW

FEDERAL AVIATION AGENCY

SUPPLEMENTAL TYPE CERTIFICATE FORM APPROVED, BUDGET BUREAU NO. M-R01S

INSTRUCTIONS - SUBMIT IN TRI PLICATE TO LOCAL FAA FLIGHT STANDARDS INSPECTOR.

COPY WILL BE flETURNED TO APPLICANT UPON

ISSUANCE

1. NAME AND ADDRESS OF APPLICANT Xulaa Ainootlve, Inc.

P. 0. Bo* i7t> Brcten Arrow, Oklahoma

2. SUPPLEMENTAL TYPE CERTIFICATE APPLIED FOR:

AlRCRAFT ENGINE PROPELLER

ORIGINAL MODEL DESIGNATION Piper PA*23-250 NEW MODEL DESIGNATION (If dmmlrid) DESCRIPTION OF CHANGE Installation of Piper forward fuselage section and Piper long OOU p/N 30542-02 in accordance ultb drawings 1700 (2 sheets) dated 7/23/63, 1701 dated 9/19/63 (five plice) or 1704 uateti S/W/W (flvt place), Tula* Alriaotive fioglneering Report ST-filOl, end Piper Report 1036, revieed by Tulaa Mraotivc tor weigbe and bai«oc«.

1. FAA Approve Airplane Flight Mrtttial Supplcucnt dated 3/l9A'3 required.

2. Tld.8 MDOificatloa is eligible on tiper PA-23-2SO, PA-2>250 (6 place) and PA-23-25O aircraft Mdifted per STC'a SA2-1172 and 3A162SW.

3. The weight and balance end loading ocnedule per Tulaa Almotive Kapert Vo.

1006 la to be added to each airplane modified by thia SIC and a 1702 plotter

•fright and Balance ia to be furnished with the airplane for the 6 place configuration ami a 1701 plotter weight & balance ia to be furnished with the 2 place configuration.

»*. WILL DATA 6E AVAILABLE FOR SALE OR RELEASE TO OTHER PERSONS? C2 YES

b. WILL PARTS BE MANUFACTURED FOR SALE (Saf. CAS l.S5)1 t— ] YES NO NO

5. SIGNATURE AND TITLE OF APPLICANT

SIGNATURE

5. 1963

DATE OF APPLICATION TITLE

6. To fee Completed by FAA

NATURE AND LOCATION OF DATA Data lleted in item three above, Piper Reports 1036 and 1204, and DUL tf. Fred Stewart'a fAA-1600 feted 8/15/63 ou file at SU-210.

Reference £ reject A377SW-4.1.

Applicable xegulaciona MM «• original certilication.

ORIGINAL TYPC CERTIFICATE NO.

1A10 -•••"PLEMENTAL TYPE CERTIFICATE NO.

SA2808W

DATE OF APPROVAL 9/21/63

FAA APPROVAL H.

SI MATURE Slaughter Bnginearlng and Manufact'oring Branch Tl TLE AC eZ-4Z07 FORM FAA-Z417 (5-59)