2015, 05-14 Permit: FAS-2015-0001 InspectSpokane
Valley
l,it Jp_csl'Nr
MANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #: h A S- ZO IS -0001
OWNER: 0 N/LC EI3RM41 P j
ADDRESS: gals' E Sc4zce e 4 &e fl'agirW6 Uty , wa
MANUFACTURER Go EDEA, t,) ( MANUF DATE: Ante_ 2o15
MODEL: 4147raf,.v SERIAL NUMBER: aL5o3538Yo/2,4a
"HUD" LABEL/STATE LABEL NUMBER: ORE ( 7 DATA PLATE:
DEALER: yd,Y1p Goys DEALER#: 3o S6
ELECTRICAL -L& I FINAL APPROVAL: Y�
INSTALLER: rpr.o�. /yak c Si3o WAYNES#: /?0,-1 do IT 9 o z / is
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLATION #:
INSTALLATION
ANCHOR#:
INSTRUCTIONS US MANUFACTURER:
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE:
STATE:
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN:
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUPPORT FOOTINI TYPE: Gvwcre_/'e
SIZE:
PIERS: MATERIAL ,,o,,,cr¢e_
SPACING: per ce'n
SHIMS: a/ co a
LOT/SOIL CONDITIONS: p ycia ed G /Irk ye t
ANCHORS: SPACING: i' G"
EQUIPMENT USED: ,r/, yuL € M,-, n/
EQUIPMENT APPROVED: Yes
FRAME REMOVED: PERMITED BY MANUFACTURER: roiviles
(PRIOR TO 11/89)
FOUNDATION TO LOCAL BLDG CODE:
14 i -
SUPPORT LOCATIONS PER MANUFACATURER OR ENGINEERED DESIGN:
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA): N/
SKIRTING: TYPE: 7-2EAre p a y )
COMMENTS
ATTACHMENT TO HOME: T2ea tcd K to
POLY ON GRADE: T,5
ACCESS PANEL: Y
`:i/t LA is ����Vni,
*FINAL APPRO MEEJ�THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: j
DATE/TIME: 5' / / 5 VI )15 -
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER