2009, 02-06 Permit: 08003602 InspectCITY OF
pokane0° \ MANUFACTURED HOME INSPECTION RECORD CARD
Valle PERMIT #: � �� (�' r C �_
40.0y OWNER: t).,r-) CAM, 6 r.L
ADDRESS: CA I 1 F'1 -14 Cc i V
MANUFACTURER , 0 �c{e i1 li,_ ,j --i- }s x S MAJ
C=UF DATE: (`) q' ?
41--1-"(c4C.'.
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MODEL: SERIAL NUMBER:
"HUD" LABEL/STATE LABEL NUMBER:
DATA PLATE:
DEALER: DEALER#:
ELECTRICAL -L& I FINAL APPROVAL: 4AYNES#:
INSTALLER: /.'/- ARO C ?Li? -/ 4 /'J
INSTALLER: 2e -e- A .S'k:Ri. CZ PEPS lit — WAYNES#:
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLATION
INSTALLATION #: 15 00 A < ANCHOR#: OTT 520
INSTRUCTIONS U5 MANUFACT . • ER: STATE:
NFPA 22
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: (1/j�F#: S
PIERS:
SIZE:
MATERIAL
SPACING:
SHIMS:
ttfiltrti
LOT/SOIL CONDITIONS:
ANCHORS: SPACING:
orf -
EQUIPMENT USED:
t
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: (,) pp 7
COMMENTS
ATTACHMENT TO HOME:
POLY ON GRADE:o 5
ACCESS PANEL: G 4A° 5 A
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: DATE/TIME: 2" r; ` a C/ 36 A 1
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER