2010, 12-01 Permit: 09001476 Inspect111
SC'TYopkane
MANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #: �1 - g y -lt
.000y OWNER: r, e An ea(C��c'l�
ADDRESS:
;I 1Z,1 ��
L-11MANUFACTURER 6(-1-cle,) MANUF ,l ,
DATE: ? Cc
MODEL: SERIAL NUMBER:
"HUD" LABEL/STATE LABEL NUMBER: DATA PLATE:
DEALER: DEALER#:
ELECTRICAL -L& I FINAL APPROVAL: ,927ti/ jibe S
INSTALLER: H U - opootible WAYNES#:
INSTALLER: 1G o t r i 61 5 S •ren*Y WAYNES#: 3 33
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLATION
INSTALLATION #: ANCHOR#:
INSTRUCTIONS U5 MANUFACTURER: STATE:
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE: Er."'
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN:
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUPPORT FOOTINI TYPE: e amt) c4
PIERS:
SIZE:
MATERIAL eoNc(Piocot
SPACING:
SHIMS:
LOT/SOIL CONDITIONS:
,45 A Ai
ANCHORS: SPACING: t/'/'�I,°/x G ' ' auxf
EQUIPMENT USED:
.s ,' 72: 2
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: 'I i-4-4Te,) P,41.00/3 ca da IW-At71i) ;2ijk 4 //%-(/4,)7r
ATTACHMENT TO HOME: ) 4 " de-,
POLY ON GRADE: S
ACCESS PANEL: N , is. ezvotiole , ie4 64.
COMMENTS L Al Gks' /A ppro v� ,ia 6,41r -Ur_ -h -,S /»'
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR:
sAel
DATE/TIME: L9 ////Z)
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER
„.
ti CITY OF
kaneSpoMANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #: q ,1 q --Ap
Valley OWNER: T.v e n n
a( allADDRESS:
MANUFACTURER 601d&\ Ks MANUF DATE: 7 coo Ji
S
MODEL: SERIAL NUMBER: Ger IC 1 '5-C- e� 0 i e- L► Co j '47:
"HUD" LABEL/STATE LABEL NUMBER: DATA PLATE:
DEALER: DEALER#:
ELECTRICAL -L& I FINAL.APPROVAL:
INSTALLER: s� W4 s itt14-S. WAYNES#: ()A -14v S5 -y"
INSTALLER: WAYNES#:
INSTALLER:
INSTALLER:
WAYNES#:
WAYNES#:
INST TION
INSTALLATION #: v 2,3:5 ANCHOR#:
1
INSTRUCTIONS U5 MANUFACTU ER: STATE: WA} •
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE: j v�` ` l 4_ V- 3 33 Gni
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINE' . ED DESIGN:
ELEVATION: ELEVATION OF LOWEST FLOOR(IF�IN A FLOOD HAZARD AREA):
SUPPORT FOOTINI TYPE: why Kt Le �,L 1( i .51-r`i; t
SIZE: t` 4:cm... u — 224( "1-
PIERS:
{PIERS: MATERIAL 6b Lic__KS
SPACING: (R-. £2; -(. ,� S:zt
SHIMS:
LOT/SOIL CONDITIONS:
ANCHORS: SPACING: 1'� c
EQUIPMENT USE
6-fifr st-�
EQUIPMENT APPROVED:
FRAME REMOVED: PERMITED BY MANUFACTURER:
(PRIOR TO 11/89)
FOUNDATION TO LOCAL BLDG CODE: ieS
SUPPORT LOCATIONS PER MANUFACATURER OR ENGINEERED DESIGN:
ELEVATION OF LOWEST F OOR(IF IN A FLOG HAZARD AREA):
SKIRTING: TYPE:
ATTACHMENT TO HOME:
COMMENTS
POLY ON GRADE: 4/:3
Ye
re
ACCESS PANEL:
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR:
DATE/TIME: ( 1:30 A
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER