2010, 05-06 Permit: 10001048 InspectOF ``�,� l- ` �-
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pokane MANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #:O
ValleY OWNER:
ADDRESS: (i_c_o�C'1
MANUFACTURER Ft/ ec-r MANUF DATE: ;,p / Q
MODEL: SERIAL NUMBER:
"HUD" LABEL/STATE LABEL NUMBER: .i j. 2 30 22. C) DATA PLATE: I'D 23 0 22 6 3:114/4
DEALER: riobi l A (d'(/'- ( DEALER#:
ELECTRICAL -L& I FINAL APPROVAL:
INSTALLER: vi.j,PS1 .AVj 4"!
INSTALLER:
INSTALLER:
INSTALLER:
WAYNES#:
_Cc._62
WAYNES#:
WAYNES#:
WAYNES#:
INSTALLATION
INSTALLATION #: `Z Z d ANCHOR#:
INSTRUCTIONS U5 MANUFACTURER: STATE:
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE:
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN: c S G C? c
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA): A 4 -
SUPPORT FOOTINI TYPE:
SIZE: f 4=x/6X-I i�Xc ;�'/(� Mi -JC
PIERS: MATERIAL l U,4 c (2 E
SPACING: 6; 6 C.
SHIMS: Lt)pcA
LOT/SOIL CONDITIONS: coot -t f 4 i ie c( 64,1.ile /
ANCHORS: SPACING: t,,r,✓ 6)1)&3 (v 4-4j e45 �c �ufiFd
EQUIPMENT USED: (AL, H= n^,�},.i pi"( 3 y5 -km
EQUIPMENT APPROVED: e ,)6.4,f€f 2 t
FRAME REMOVED: PERMITED BY MANUFACTURER: ,,✓/
(PRIOR TO 11/89)
FOUNDATION TO LOCAL BLDG CODE:
SUPPORT LOCATIONS PER MANUFACATURER OR ENGINEERED DESIGN:
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SKIRTING: TYPE:
ATTACHMENT TO HOME: _S Lf2 e S
POLY ON GRADE: IE S
ACCESS PANEL: y e 5
COMMENTS 3 b ALA- S /4pp<<�r d/ G913 4:3 /'
x.14" ,J
NX&x/' X _ ICx/ Xy (1/,s
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR:
)
DATE/TIME:'G %0
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER