2010, 12-01 Permit: 09002045 InspectCITY OF
pokaneor,"•.MANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #: c C 0 -1S
ValleyOWNER: c ce Fax
Ti
ADDRESS: r' f--)0,-L-A_
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MANUFACTURER O 4 L 6 y Q u/ 1 -t -t MANUr DATE:
MODEL: SERIAL NUMBER:
11"--'
".a
"HUD" LABEL/STATE LABEL NUMBER: DATA PLATE:
DEALER: 6u4, �7 & u i4LT y DEALER#:
ELECTRICAL -L& I FINAL APPROVAL: hpbW B i5
INSTALLER: U,t'/, , , u )' x / y ce6-z✓ WAYNES#: ) `- S 1
INSTALLER: L, f y,�Tl, 6- %-o o/i» 6 c WAYNES#: 2 3 33
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLATION
INSTALLATION #: ANCHOR#:
INSTRUCTIONS U5 MANUFACTURER: STATE:
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE:G4j94/6.:eL-'r�
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN:
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUPPORT FOOTINI TYPE: CO A)C- e € Tt 14/T440 .Q-atCS.0 A. s 7 L
PIERS:
SIZE:
MATERIAL Ce )OGf
SPACING: G{ j )76-e M'4- -'. S
SHIMS:
LOT/SOIL CONDITIONS:
ANCHORS: SPACING: 1/2/")C ( `!
EQUIPMENT USED:
EQUIPMENT APPROVED:
136 04.41 ,c", c-. Le ("-
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:
ATTACHMENT TO HOME:
POLY ON GRADE:
ACCESS PANEL:
COMMENTS �)t' i X : �`I ,VF �/ r; /;://'s
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
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INSPECTOR: 1:),0t -C;
DATE/TIME: /2/1
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER