2010, 03-09 Permit: 10000402 InspectSCITYOF
I116"\
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po ne MANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #: JO-ogoz.
\Talley 41COWNER: f iir1012� �kCn11QS
ADDRESS: /30'7 S r�iKeip-r1
MANUFACTURER Lltie vd oZ IA ciu \ISMANUF DATE: MCP
MODEL: SERIAL NUMBER:
"HUD" LABEL/STATE LABEL NUMBER:
DEALER:
.L -L& I FINAL APP OVAL:
R:
INSTALLER:
INSTALLER:
DEALER#:
DATA PLATE:
INSTALLATION #:
WAYNES#:
WAYNES#:
INSTALLATION
ANCHOR#:
INSTRUCTIONS U5 MANUFACTURER: STATE:
NFPA 225
IC)A- FOUNDATION TO LOCAL BLDG CODE: 'aE R, c'rJGINEEP-,
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN: t r,o,ita �
ELEV • • : ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUPPORT FOOTINI TYPE: -apt NSvease <orlcon e Sfl P
IZE:
MATERIAL V N _ R.0 ‘h% -c, i>_cc IAA sorg p1 'I 1 t %S
SPACING: 4 ' +0 9'
SHIMS:
LOT/SOIL CONDITIONS: sp,.1Dy G(L.gvEL-
SPACING: Ft R ENG 1 NCE
EQUIPMENT USED: M1NJTt hAAt% Mr4c.11v&r
EQUIPMENT APPROVED: QER ENG\
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):
TYPE:
SKIRTING:
ATTACHMENT TO HOME:
POLY ON GRADE:
ACCESS PANEL:
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: 0 di/ ,, DATE/TIME: ` _40 0-625g--
ORIGINAL
'62s
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE
COPY FOR OWNER