2008, 08-06 Permit: 08000709 InspectC'VITY OF oo�
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MANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #: �' r -)c
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ADDRESS: /?z- ljcjiIh t/Irk,"
MANUFACTURER 4 I�, �`�_ `' L� �,r t c_CF MANUF DATE:
MODEL: SERIAL NUMBER:
"HUD" LABEL/STATE LABEL NUMBER: DATA PLATE:
DEALER: DEALER#:
ELECTRICAL -L& I FINAL APPROVAL:
INSTALLER: 766, 9 AjZneS-foa•Dk4tan skra4. WAYNES#: ZZSI
INSTALLER: WAYNES#: L1a-,
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLATION
INSTALLATION #: ANCHOR#:
INSTRUCTIONS U5 MANUFACTURER: STATE:
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE::
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN:
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUPPORT FOOTINI TYPE: 57 -cx c�k
SIZE: LID'
PIERS: MATERIAL
SPACING: ( `�„
SHIMS: ii,
LOT/SOIL CONDITIONS:
ANCHORS: SPACING: �f' r I '
EQUIPMENT USED: 5 tR A -PS 49mob",,
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: I/='' trc*+-Oc t,, AA I
ATTACHMENT TO HOME: Gartl�An Z�fl rt Ai�-S
POLY ON GRADE:
ACCESS PANEL: t,,Z tiOo ✓ t. r
COMMENTS-)JLcl,ks A,�ove,✓ 42 Cuh�,,A,,s wc 1
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: 4 f DATE/TIME: - b` `ti $`s'0 A w1
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER