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2010, 06-14 Permit: 10001016 Inspect
OF - r col) SCITY pokane P .0,o0 Valle OWNER:ERMIT#: \tT \O\ dun er NOrYI(� �n ADDRESS: Q1 �� ( MANUFACTURER Icj+l.,es.MANUF DATEtj 0 MODEL: c9..0 ‘s LS SERIAL NUMBER: jug a3 0 a9 MANUFACTURED HOME INSPECTION RECORD CARD "HUD" LABEL/STATE LABEL NUMBER: DATA PLATE: DEALER: eryl x oi,A ' �2��e_r DEALER#: ELECTRICAL -L& I FINAL APPROVAL: INSTALLER: lo©rw e5+ )4(1 INSTALLER: INSTALLER: INSTALLER: WAYNES#: WAYNES#: q 7 WAYNES#: WAYNES#: INSTALLATION INSTALLATION #: ANCHOR#: INSTRUCTIONS US. MANUFACTURER: STATE: NFPA 225 FOUNDATION: FOUNDATION TO LOCAL BLDG CODE: SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN: ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA): SUPPORT FOOTINI TYPE: SIZE: PIERS: MATERIAL cone c -P fe- blod 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 FLOOR(IF IN A FLOOD HAZARD AREA): SKIRTING: TYPE: trt- a f e -Q0(.40,0141 n COMMENTS ATTACHMENT TO HOME: POLY ON GRADE: ACCESS PANEL: *FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT* INSPECTOR: DATE/TIME: (9`. /0,_ to j C2'ri ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER