2014, 02-25 Permit: FAS-2013-0015 MHSpokane'
MANUFACTURED HOME INSPECTIONR ORD CARD
PERMIT #: 00/6
400.Valley OWNER: Lina um
$(J1 to 4A9NWD"--A:,Zc3v�ADDRESS:
MANUFACTURER +/S -e.4-
MODEL: SERIAL NUMBER:
"HUD" LABEL/STATE LABEL NUMBER: DATA PLATE:
DEALER: DEALER#:
ELECTRICAL -L& I FINAL APPROVAL:
INSTALLER: AAA*, Ai r F
INSTALLER:
INSTALLER:
INSTALLER:
WAYNES#: FR i L oA
WAYNES#:
WAYNES#:
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:
SIZE:
PIERS: MATERIAL
1 Jr If 5 (fAl) 4- .So e
SPACING: 7 /
SHIMS:
LOT/SOIL CONDITIONS:
ANCHORS: SPACING: 10
EQUIPMENT USED: $ -71rA p
EQUIPMENT APPROVED:
FRAME REMOVED: PERMITED BY MANUFACTURER: Y
v7Jt b,/7's
(PRIOR TO 11/89)
FOUNDATION TO LOCAL BLDG CODE: Ruh k,r „e any
SUPPORT LOCATIONS PER MANUFACATURER OR ENGINEERED' ESIGN: S
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA): ^V/q
SKIRTING: TYPE: \ Ayl
ATTACHMENT TO HOME: Ye,c-
COMMENTS
POLY ON GRADE:
ACCESS PANEL: ri5
LL c ,j
v� �S �� y) i�jYG�-I -7 ;: � ^fir f �.
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR:
DATE/TIME: , ' 0 �' / f 2,'0 0 pi Iv,
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER
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