2012, 01-06 Permit: 08003134 Inspect ■ ,k
Lit CC -f\ Cwt
sCITY OF
pokane MANUFACTURED HOME INSPECTION RECORD CARD
4,00 PERMIT #:
Valle OWNER: no ho n mNin tkAd
y ADDRESS: 1
MANUFACTURER GICLLi MANUF DATE:
MODEL: eo(p SERIAL NUMBER: 3z k3f
"HUD" LABEL/STATE [ABEL NUMBER:ord SoToj ofe roTV Z DATA PLATE: j 8.0
DEALER: e ,� �{oyj,as DEALER#: 643
ELECTRICAL-L& I FALAPPROVAL:
INSTALLER: „A to .f _ -{ 14_„,(2_ WAYNES#: 3ilia
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLATION
INSTALLATION #: ANCHOR#:
INSTRUCTIONS UE MANUFACTURER: STATE:
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE:
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN: eieS
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUPPORT FOOTINI TYPE: piers
SIZE: 16 "
PIERS: MATERIAL ,� m PG eieri
SPACING: 5-1
SHIMS: iV/A
LOT/SOIL CONDITIONS:
ANCHORS: SPACING: Le`2,`r
EQUIPMENT USED: Tv 4)WA El1rt r/l�f
EQUIPMENT APPROVED: e‘ /
FRAME REMOVED: PERMITED BY MANUFACTURtR:
(PRIOR TO 11/89)
FOUNDATION TO LOCAL BLDG CODE:
SUPPORT LOCATIONS PER MANUFACAT ER OR ENGINEERED DESIGN: grtrig
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SKIRTING: TYPE: ''�`,0-0 e`,/W a
ATTACHMENT TO HOME: yes-
POLY ON GRADE: 6* rn C
ACCESS PANEL: Ves I6I'J r COMMENTS 5—/j4 Ks � O /,, /1 S-
9'IS" 43. • evl`Sc� R 5 10--2-�5
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: ` (044.51.-- DATE/TIME: //6/ia /0-. 3 0
ORIGINAL COPY:CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER