2012, 05-08 Permit: 11003477 InspectSCITY0 ane
MANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #: l j 00 3 y% 7
4•00010
ValleyOWNER: ADDRESS: r �? l Iy
Ho D Gs a - L ,L/t :
MANUFACTURER 1/ / /G E-' f¢ j1/4 MANUF DATE:
MODEL: / SERIAL NUBER: 9 5
y 7
"HUD" LABEL/STATE LABEL NUMBER: DATA PLATE:
DEALER: V 4)/i; a ,f 1 xf DEALER#: Sly � h:L G'r !/�t y c/6 L
ELECTRICAL -L& I FINAL APPROVAL:
INSTALLER: it; vow h E c hs
INSTALLER:
INSTALLER:
INSTALLER:
WAYNES#:
WAYNES#: '1 3 3 $
WAYNES#:
WAYNES#:
INSTALLATION
INSTALLATION #: ANCHOR#: i; y X < IC / C)) J S
INSTRUCTIONS U5 MANUFACTURER: STAT:`
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE:
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN: '',•,,tJ 'c -"T e !3/0rj(
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUPPORT FOOTINI TYPE: 69}11Gal'b-
SIZE: 1f/ x e," AO' oi PPi6 / xc,, x Ni i
PIERS: MATERIAL Co/4)(2A K 7b- 13/d (1 p-5 OHZ '1) &1' e:7/4-4...-
SPACING:
,/3-c
SPACING: A S'" pee PM-It/a61(7-6(
SHIMS:
LOT/SOIL CONDITIONS:
ANCHORS: SPACING: 4-/S )L '"'' ✓Jcr'c,Z c%/TS 0.f- <7-Piefric
EQUIPMENT USED': jcTe Ph kitf 47s' 0.j- 1—
E QU IPMENT
'EQUIPMENT APPROVED:
FRAME REMOVED: PERMITED BY MANUFACTURER:
(PRIOR TO 1 1 /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: -,-7 ,�G-IL--/) nv 4/Q() 1) c)N ;3 X G 0/4"h
ATTACHMENT TO HOME:
COMMENTS
POLY ON GRADE: 5
ACCESS PANEL: L. 4
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR:
DATE/TIME: S- , %2
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER