2013, 11-21 Permit: 10001100 InspectSC,TY OFk
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Valley OWNER•PERMIT#: 're`- J] 1.400, }'
MANUFACTURED HOME INSPECTION RECORD CARD
ADD ESS: /S/,4/ 7 /l ti(i/) lain/ Vie L4) Ave.
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MANUFACTURER flee,-A,000MANUF DATE: j)0/9
MODEL: SERIAL NUMBER:
"HUD" LABEL/STATE LABEL NUMBER:
DEALER: DEALER#:
ELECTRICAL -L& I FINAL APPROVAL:
INSTALLER:
INSTALLER:
INSTALLER:
INSTALLER:
DATA PLATE:
WAYNES#:
WAYNES#:
WAYNES#:
WAYNES#:
INSTALLATION
INSTALLATION #: ANCHOR#:
INSTRUCTIONS UE MANUFACTURER:
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE:
STATE:
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
SPACING:
U h r\ c V- (—O[7
(
P�er I ni )'•{-Gi(.�(J
SHIMS: lt) S
LOT/SOIL CONDITIONS:
S( S
ANCHORS: SPACING: I/ %
EQUIPMENT USED: nib 'nu
EQUIPMENT APPROVED: Y S
FRAME REMOVED: PERMITED BY MANUFACTURER: lrs
(PRIOR TO 11/89)
FOUNDATION TO LOCAL BLDG CODE: IC
SUPPORT LOCATIONS PER MANUFACATURER OR ENGINEERED DESIGN:
ELEVATION OF LOWEST FLOOROF IN A FLOOD HAZARD AREA): ti / A
SKIRTING: TYPE:
COMMENTS
ATTACHMENT TO HOME: 7e S
POLY ON GRADE: yS
ACCESS PANEL: Ye S i
L o -v k±- /''ir1erD1/P d
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: . �. �, / DATE/TIME: //-j/ - / 3 /2: S !'
ORIGINAL COPY- CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER