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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