2010, 01-19 Permit: 09003616 InspectSCITYpoxane
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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