2008, 10-02 Permit: 08003115 InspectSOF �` `'n
CITYokane MANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #: Z� L1lS�
Valle OWNER: 1 Z ; {IN \ L tb
ADDRESS: A I
MANUFACTURER (,L i i tL, j) ` I Y. MANUF DATE: 9cip `
MODEL: F'Irc Sd . e SERIAL NUMBER: ?s
"HUD" LABEL /STATE LABEL NUMBER: 0 (c 3-0 7- j - DATA PLATE: 4-L66 2,S`'/4' 0e-A6
DEALER: C'-/o 7a41 W® yr. , ' DEALER #: ygyG
ELECTRICAL -L& I FINAL APPROVAL:
INSTALLER:4 WAYNES #:�����
INSTALLER: j)�rA-1/7"
WAYNES #:�'�
INSTALLER: WAYNES #:
INSTALLER: WAYNES #:
INSTALLATION
INSTALLATION #: ANCHOR #:
INSTRUCTIONS U5 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 FOOTIN'TYPE: CnriGrert5
SIZE: (' "% 7 ;cii t-o, 7-6 'K SJ q'
PIERS: MATERIAL <G/ (2.2'Fig;;V-5
SPACING: -of, r A.vuf�ll'ec°_,
SHIMS:
LOT /SOIL CONDITfONS:'��>
ANCHORS: SPACING: C�
EQUIPMENT USED: fi/ nu' , fi„t_ty S'la ��5 /Te,ccN
EQUIPMENT APPROVED: 12,r/, y,,,4„,,t4
FRAME REMOVED: PERMITED BY MANUFACTURER 7;44,0,43. L,/7 5
(PRIOR TO 11/89)
FOUNDATION TO LOCAL BLDG CODE:
SUPPORT LOCATIONS PER MANUFACATURER OR ENGINEERED DESIGN:
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZA AREA): 7
SKIRTING: TYPE: re Cu �, f �t A -fie
ATTACHMENT TO HOME: ye ••• c Q /9- re
POLY ON GRADE: 6 ,-i ,�JJ/ 0 /�� /r
ACCESS PANEL: � �'� 7�
COMMENTS )c i im■-. CAS /lphroVt. 1 f o C ygi t .5 L,Ak,
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR:
DATE /TIME: /0 - 2- �' Woe)
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER