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2010, 01-19 Permit: 09003616 InspectSCITYpoxane OFd.11.1°°°\MIIIII%, dVal U.SpO,VtO CAS MANUF CTURED HOME INSPECTION RECORD CARD PERMIT #: V/ ley OWNER:I?nevi i Ch�IJen $P ADDRESS: / �j Go? I irk MANUFACTURER fi 1(I ,-Q (t X yc l MANUF DATE: -2 007 MODEL: SERIAL NUMBER: "HUD" LABEL/STATE LABEL NUMBER: DATA PLATE: DEALER: DEALER#: ELECTRICAL -L& I FINAL APPROVAL: INSTALLER: (9A y' j�o<Sr.,,, �v,uv , WAYNES#: 1 6 7Q INSTALLER: (I Ktials WAYNES#: % CIO O INSTALLER: _5c7 -c4 P yc4kJ,.J WAYNES#: 2 2 2 INSTALLER: 77 r Da,,.),o5 Vu/&diJ WAYNES#: 2 22._j l INSTALLATION INSTALLATION #: Z22 ANCHOR#: INSTRUCTIONS U5 MANUFACTURER: STATE: NFPA 225 FOUNDATION: FOUNDATION TO LOCAL BLDG CODE: SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN: yes ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA): SUPPORT FOOTINI TYPE: CP AR; L f -t-- 2.,w..etAt �S SIZE: JO( LI$ 1 8)(X18 j i{' V y� ft)04. e44. co r, 1- - PIERS: MATERIAL 8)(3 SCI �,L) e te. 6 / c k SPACING: [� o,Cr SHIMS: Wc1C C1 LOT/SOIL CONDITIONS: ANCHORS: SPACING: Q --r-c_���NCRc (2) QA) epedstit- ConWeS EQUIPMENT USED: 6 I, / Tc & [,J •/'3 (vI cru i-� AIrk X fe Q. ,Cat Ad EQUIPMENT APPROVED: FRAME REMOVED: PERMITED BY MANUFACTURER: Aj/k QV(e S 4- 7--c)-1&e- 6.4 )5/ (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: I1.,-4,1'-41 too COMMENTS ATTACHMENT TO HOME: Yes POLY ON GRADE: Yes ACCESS PANEL: ye 5 *FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT* INSPECTOR: 1 DATE/TIME: J ' I ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER I: s6