2009, 03-27 MH Inspection RecordCITY OF
S okane MANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #:
i OWNER: / o e_a_qkci
ADDRESS: /
yyr n f,. A / k..
MANUFACTURER 4p7esate d i 8 of Ct -V-0 MANUF DATE: 2008
MODEL: 4,81110 Z SERIAL NUMBER:
"HUD" LABEL /STATE LABEL NUMBER: DATA PLATE:
DEALER: N,E1-44-/ 5 Q-3. DEALER #:
ELECTRICAL -L& I FINAL APPROVAL:
INSTALLER: �o cJ KJ WAYNES #: / ! ��
if INSTALLER: ; s pi WAYNES #: k '%
INSTALLER: WAYNES #:
INSTALLER: WAYNES #:
INSTALLATION
INSTALLATION #: ANCHOR #:
INSTRUCTIONS US MANUFACTURER: STATE:
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE:
SUPPORT: * SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN: -_ _
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUPPORT FOOTINI TYPE: 7-UNr.1A -4,3 3 l7 % 3 C 0644.4 E
SIZE: 4$ 8 x Z 7=$ x (G "
PIERS: * MATERIAL
SPACING:
SHIMS:
LOT /SOIL CONDITIONS: ,/
ANCHORS: SPACING: /r- a" f LuaJG/- s- rr0 ,"/
EQUIPMENT USED: /n'wJ -$m r 'r%
EQUIPMENT APPROVED:
FRAME REMOVED: PERMITED BY MANUFACTURER:
(PRIOR TO 11 /89)
FOUNDATION TO LOCAL BLDG CODES
SUPPORT LOCATIONS PER MANUFACATURER OR ENGINEERED DESIGN:
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SKIRTING: TYPE: W vu
ATTACHMENT TO HOME: , Y s
* POLY ON GRADE:
ACCESS PANEL:
COMMENTS co ^rry rJ U o I S Pa n 2- i( ftf r) r. - Gfiat /1444
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: T:5,4)
DATE /TIME: S - 7 ` I , / cO kirk >
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER