2010, 12-01 Permit: 07003401 InspectSCITY
poxane MANUFACTURED HOME INSPECTION RECORD CARD
OWNER:
PERMIT #: c 'T 3 /C /
Valle %J a�s�
Y
, ADDRESS: / SjC� / / J_ (, z 'I C/
MANUFACTURER C (J �, C� t4 (,C 1,4 no) MANUF DATE: C.''�
MODEL: SERIAL NUMBER:
"HUD" LABEL/STATE LABEL NUMBER: DATA PLATE:
DEALER: 04-ifr (' ,/ 1 , `°7t` y DEALER#:
ELECTRICAL -L& I FINAL APPROVAL: I"a /
INSTALLER: 11, JO WAYNES#: , ? 5°)
INSTALLER: fG) 175- WAYNES#: 3 3 3
INSTALLER:
INSTALLER:
INSTALLATION #:
WAYNES#:
WAYNES#:
INSTALLATION
ANCHOR#:
INSTRUCTIONS US. MANUFACTURER:
STATE:
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE: •- ; •��,'
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN: COKA "6 -Ti
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUPPORT FOOTINI TYPE: OA)C c 1) 126- )V Irk
SIZE:
PIERS: MATERIAL
SPACING: fri5 e. PA
SHIMS:
LOT/SOIL CONDITIONS:
ANCHORS: SPACING: ii/;0'> . x Q&, 4` ? ear 017% i )t / =-
EQUIPMENT USED: SF.+C ' or Az- s'
EQUIPMENT APPROVED:
FRAME REMOVED: PERMITED BY MANUFACTURER:
(PRIOR TO 11/89)
FOUNDATION TO LOCAL BLDG CODE:
SUPPORT LOCATIONS PER MANUFACATURER OR ENGINEERED DESIGN:
ELEVATION O.LOWEST FLOOR(IF IN A FLOOD HARD AREA): /I% O
SKIRTING: TYPE: °717e-oitto p),iiao, ON Milk") d,.1 j)4.1 F4' 41 . At,26.
ATTACHMENT TO HOME: /‘ °/ a,L,
COMMENTS
POLY ON GRADE:
ACCESS PANEL: 4' tHi2 U -F 4r/14
1 V Q ck i Appt0 Ve d VC) 0,-, /fro (rr, 1- r
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR:
DATE/TIME: 12/)
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS RLE COPY FOR OWNER