2013, 10-10 Permit: FAS-2013-0006 Inspect1 C _
SiiOF
iikane MANUFACTURED HOME INSPECTION RECORD CARD
4000 Val leY OWNER:
PERMIT #: itf-s - 2013-000 6,
ADDRESS: 1 (i Ai, itea6---s 12 b ii -16/
MANUFACTURER vaty a k.4wt-ti 14-ies MANUF DATE:
MODEL: SERIAL NUMBER: (4) /3 6:). ey ci 6 71 -1,2,4 5 cif
"HUD" LABEL/STATE LABEL NUMBER: DATA PLATE:
DEALER: b/4116 7 ai4)- 27y DEALER#:
ELECTRICAL -L& I FINAL APPROVAL: /
INSTALLER: ApL-7L)R6:-c45 WAYNES#:
INSTALLER: p(1.,14: -..=1Z DI -D lybc: k5 WAYNES#: ,)2. ‘, /
INSTALLER: p/amd r--"4-- - oirg4,7 oc-- - -, 4 - j- WAYNES#:
INSTALLER:Foe; t - j -,.-p) 6' , 5 ,75--- i) 0 ctINS WAYNES#: Co i 1 4e 9731) Q
/ INSTALLATION
INSTALLATION #: ANCHOR#:
INSTRUCTIONS U5 MANUFACTURER: STATE:
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE: e "',d& on' co,,,,,,,,„
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN:
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA): A/ e,
SUPPORT FOOTIN TYPE: (e.4)ce6 iL-- e," t.).,-.--71/1 E ' ortAtrve, 5
SIZE: ( c1471'.77)6- /i.:(eitovz-ie / /---teg /-- .-4.#,4 of /46-A,6
PIERS: MATERIAL c„,/,.z. ac,L6.- i t ei i I t ( t
SP-ACII\167--? C1 eit-)ci 7 6- -. / - z- c3joe:4 /1 f,x 4,-/t b': Aq . oz , 2 c ,v
SHIMS:
LOT/SOIL CONDITIONS:
ANCHORS: SPACING: 7'x rz / 4 ti. e- I t P c / iTS
EQUIPMENT USED: //y gifzi-i 3j -rap ka Z., i-,--5
EQUIPMENT APPROVED: s
FRAME REMOVED: PERMITED BY MANUFACT e
RER:
(PRIOR TO 1 1 /89)
FOUNDATION TO LOCAL BLDG CODE:
SKIRTING:
SUPPORT LOCATIONS PER MANUFAC URER OR ENGINEERED DESIGN:
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
TYPE: ?iv e-- 4v-_;74,4 121 / re-/)
/ft44.141)
ATTACHMENT TO HOME:
POLY ON GRADE: /t-5 4 C7)
ACCESS PANEL: / 3). A
COMMENTS 5e..4_10A4is
-ro
Ip p re* 07K PPP 1 Nles
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR:
DATE/TIME: 10-- 10-i teq,
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER