2007, 01-10 Permit: 06002956 Inspect000l�
Spokane
jUalley
MANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #:
OWNER:
ADDRESS:
MANUFACTURER
MODEL: SERIAL NUMBER:
"HUD" LABEUSTATE LABEL NUMBER:
[N1* -,TUN
ELECTRICAL -L& I FINAL
INSTALLER: 5
INSTALLER: Q�
INSTALLER:
INSTALLER:
INSTALLATION #:
INSTRUCTIONS U� MANUFACTURER:
FOUNDATION:
SUPPORT:
ELEVATION:
MANUF DATE:
DATA PLATE:
DEALER#:
4,10W,,o WAYNES#: /30Z
WAYNES#:
WAYNES#:
WAYNES#:
INSTALLATION
ANCHOR#:
STATE:
NFPA 225
FOUNDATION TO LOCAL BLDG CODE:
SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN:
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUPPORT FOOTINI TYPE:
SIZE:
PIERS: MATERIAL
SPACING:
SHIMS:
LOT/SOIL CONDITIONS:
ANCHORS: SPACING:
EQUIPMENT USED:
EQUIPMENT APPROVED:.
FRAME REMOVED: PERMITED BY MANUFACTURER:
(PRIOR TO 11 /89)
FOUNDATION TO LOCAL BLDG CODE:
SUPPORT LOCATIONS PER MANUFACATURER OR ENGINEERED DESIGN:
ELEVATION OF LOWEST FLOORIF IN A FLOOD HAZARD AREA):
SKIRTING: TYPE: 4 v-e_c:C.ck
ATTACHMENT TO HOM :
POLY ON GRADE:
ACCESS PANEL:
COMMENTS
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: 'A DATE/TIME: 1- 10-07 -5,z-OF-"
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER