STC SA555SW

FEDERAL AVIATION AGENCY

1. NAME AND ADDRESS OF APPLICANT Brew Aaro Oorp P. 0. BOB 8 C3jurk AttlnMrijag SwrvlMi 6UaUaw Lu» D*lltt, TCBM 75230 ?. DESCRIPTION OF CHANGE Install wsat tracks in Jet COf«ANHm He Twwk InfftallatioK - ffmtol ii9i« 4a**A

WILL DATA BE AVAILABLE FOR SALE OR RELEASE TO

b. WILL PARTS BE MANUFACTURED FOR SALE (Set. CAR 3* SIGNATURE AND TITLE OF APPLICANT O^fA^^^tm It 1O£i£OVpMHMv «MA J>yOy

DATE OF APPLICATION FORM APPROVED, BUDGET BUREAU NO. 04-R015 INSTRUCTIONS - SUBMIT IN TRI R.ICATE TO LOCAL FAA FLIGHT STANDARDS INSPECTOR.

COPY WILL BE RETURNED TO APPLICANT UPON

ISSUANCE

2. SUPPLEMENTAL TYPE CERTIFICATE APPLIED FOR:

IX 1 AIRCRAFT 1 1 ENGINE L J PROPELLER

ORIGINAL MODEL DESIGNATION NEW MODEL DESIGNATION (It d*mir»<t) — ——————————— none ———————— rid UL?1 per "Ifra^iAi liat - S«et Soft* 1?, 196$ t Ho. M065072.

OTHER PERSONS? UB YES Q NO 1 .55)1 FTl YES 1 1 NO teszzs&g^i.S") SIGNATURE / ( ^f '_ / ,' i£l^*~"^ -^-7" TITLE

6. To be Completed by FAA

NATURE AND LOCATION OF DATA Data lUted In Item 3 above, Engineering Walter T. dark's FAA-1600 dated 9/17/65, 3W-210.

Reference Project: T781SW-DS Applicable Regulation*: cam aa original ORIGINAL TYPE CERTIFICATE NO. FAA API A2SU SUPPLEMENTAL TYPE CERTIFICATE NO.

SA555SW BATE OF APPROVAL / H.

iVt^ Ch 10/1/65 ^ Report ER650917 dated 9/17/65, DER FAA 1257 dated 10/1/65 on file at certification.

=ROVAI_ ^^^^. SI GNATURE H. Slaughter ief , Engineering and Manufacturing Branch TITLE FA* AC 62 4207 FORM FAA-2417 (5-59)