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2010, 12-01 Permit: 10000877 Inspect
•� P"—' }i� 1. o c. Y MANUFACTURED HOME INSPECTION RECORD CARD PERMIT #: / 0- C,V% OWNER: J) l l _Std-► i ADDRESS: MANUFACTURER Cr1& 11 i i k �6 ),Ili , y '� MANUF DATE: 1 ry jQ MODEL: SERIAL NUMBER: "HUD" LABEL/STATE LABEL NUMBER: DATA PLATE: DEALER: ykor - Q tr44-L y DEALER#: ELECTRICAL -L& I FINAL APPROVAL:/ I= O A/,� i -e *' S (% INSTALLER: //6 QK.1-4.,r y db -t4.1 WAYNES#: INSTALLER: i,v lr-S Ji(S7?7Z,V6- WAYNES#: 3 3 3 INSTALLER: WAYNES#: INSTALLER: INSTALLATION #: WAYNES#: INSTALLATION ANCHOR#: INSTRUCTIONS U5 MANUFACTURER: NFPA 225 {i FOUNDATION: FOUNDATION TO LOCAL BLDG CODE: STATE: SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN: ELEVATION: SUPPORT FOOTINI PIERS: ANCHORS: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA): TYPE: (1-0,1) c-176-71-- 4/ A %L- 7-r-oieCFA,G- SIZE: © ut-sraC 0.0111-e %ef44A/ 4 to tr. MATERIAL G' a Al Ct 4-.- 0/04,71t SPACING: /4- S PC -14.. Aloha. 5,4•10-4 (/ /'b7 Qu004d /, I SHIMS: LOT/SOIL CONDITIONS: SPACING: 1/2.'/X G " EQUIPMENT USED: GRutL4 ,'3a 7S. STt#1Pr '41 oe L� EQUIPMENT APPROVED: FRAME REMOVED: PERMITED BY MANUFACTURER: (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: re6-1 0 pLy 4,/c,Ai} nto Aelt.roti ATTACHMENT TO HOME: POLY ON GRADE: ACCESS PANEL: f b`D c' AtOin l X(4 buLKs ,„12(»,vf ,-1 f) /1,L,c5 *FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT* INSPECTOR: --(--4c)-1, DATE/TIME: Oh /o ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER