2010, 12-01 Permit: 07003084 InspectSCITY OF
Pokane
MANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #: V�'� `� ��`�,
4000
alley OWNER: 6) ‘c,:,�l►
ADDRESS: CA V `i 1c,c\C` < `] I. --11
0 1
MANUFACTURER NN-V(A
MODEL: r� fi' `�`' MANUF DATE: QCx,
SERIAL NUMBER
"HUD" LABEL/STATE LABEL NUMBER:
DEALER: Hfl,,�,
ELECTRICAL -L& I FINAL APPROVAL:
INSTALLER: 9014 /44 4� �"a�" .rWAYNES#:
INSTALLER: « .. U.. *;;
INSTALLER:
INSTALLER:
DATA PLATE:
DEALER#: 5/o61p#/1-. �fv�t� CE- �l.-•z
�EC S..
INSTALLATION #:
INSTRUCTIONS U5 MANUFACTURER:
FOUNDATION:
SUPPORT:
ELEVATION:
SUPPORT FOOTINI
PIERS:
ANCHORS:
NFPA 225
FOUNDATION TO LOCAL BLDG CODE: - 4
SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN: C°d,cJcP6 . /3/0-43
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA): No
TYPE: Coldc '4 -7 -
SIZE:
WAYNES#: ,9 33 3
WAYNES#:
WAYNES#:
INSTALLATION
ANCHOR#:
STATE:
MATERIAL ep /c r E... "
SPACING: a‘ Pt- MGl e7G
SHIMS:
LOT/SOIL CONDITIONS:
SPACING: 9'' rx 6 '"r
G't 15)o.47-5 /I'% f l 4r ,
EQUIPMENT USED: I 04604) -in
EQUIPMENT APPROVED:
FRAME REMOVED: PERMITED BY MANUFACTURER:
0c c( S.S.
(PRIOR TO 11 /89)
FOUNDATION TO LOCAL BLDG CODE:
SKIRTING:
COMMENTS
SUPPORT LOCATIONS PER MANUFACATURER OR ENGINEERED DESIGN:
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
TYPE:grc-0 07 ec?l OA./ VZ, %4-L) r' '/X 4✓" /= res
ATTACHMENT TO HOME: 16 eej c,
POLY ON GRADE:
ACCESS PANEL: , , j) c 40
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR:
DATE/TIME: /2// /i
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER
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