2011, 07-22 Permit: 11000903 InspectSC'TYokane
MANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #: r _.,
Valle ' � � �� '�' - � � � ��
Y OWNER: vrfv` ,, c,i*� l0,(K,
— ADDRESS: (.1,7_ )) (\ ' (' Ck U
MANUFACTURER / ,X./ -a, 6',+( --1 7 MANUF DATE: 6 Q ))
MODEL: SERIAL NUMBER: `...,/7/9 6�3 /zoo- ARill y/
"HUD" LABEL/STATE LABEL NUMBER: DATA PLATE:
DEALER: Z EE »irk) DEALER#: .259y
ELECTRICAL -L& I FINAL APPROVAL: I{f 1, e T7,4-x,.Q E 'c.
INSTALLER: f IL Mt WAYNES#: % b ,2 9
INSTALLER: V WAYNES#: 1 02
INSTALLER: .5 WAYNES#: `p q
INSTALLER: l ol WAYNES#: 93
INSTALLATION
INSTALLATION #: '/g- 1 i �; S� `C 6tyt/�(- (r36L ANCHOR#: )- 33Y
INSTRUCTIONS � MANUFACTURER: STATE:
U�
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE: (20/0ce6-7-6r Apex/cies--
SUPPORT:
lat ciesSUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN:
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUPPORT FOOTIN' TYPE: aj/UG19E�J�E _ T r 6n L- 5;y-PaIive- 3 --Ai C
SIZE:
PIERS: MATERIAL %%f tL -7 j 5
SPACING: ACCaevr4& ld e '1 1,4.f/W�G S
SHIMS:
LOT/SOIL CONDITIONS:
ANCHORS: SPACING: 67r ai4 c 2.0kg" 7"
EQUIPMENT USED:
EQUIPMENT APPROVED:
FRAME REMOVED: PERMITED BY MANUFACTURER:
(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:-r� -If (jiL ,x,,71 �( (,4 O C�
ATTACHMENT TO HOME: Gil o "l `%u PCPv (_
POLY ON GRADE: 965
ACCESS PANEL:
1,5
COMMENTS `/e+ 6ac,l<S NorioIle-(i C( ::{ 7-%'t if NP
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR:
DATE/TIME: -7 JL2J/i Ig 5L �r
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER