2010, 11-12 Permit: 10002956 Inspect CITY OF
pokane MANUFACTURED HOME INSPECTION RECORD CARD
Valley
PERMIT #:
40S*
OWNER: _
4-`
ADDRESS: , _
MANUFACTURER MANUF DATE:
MODEL: SERIAL NUMBER:
"HUD" LABEL/STATE LABEL NUMBER: DATA PLATE:
DEALER: _DEALER#:
ELECTRICAL-L& I FINAL APPROVAL: Yt..,
WAYNES#:
INSTALLER: Jere f.4.3 � .r3-a1 0.-:-:,-A , „yr ) 2 2 !�4}'
INSTALLER: WAYNES#: `
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLATION
INSTALLATION #: ANCHOR#:
INSTRUCTIONS U5 MANUFACTURER: STATE:
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE: %� h
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN:
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUPPORT FOOTINI TYPE: R J hht,t, C
SIZE: V toc k
PIERS: MATERIAL ;'- c,1( p.c f
SPACING: 4-.' 0.. t--
SHIMS:
SHIMS: fe,5
LOT/SOIL CONDITIONS:
ANCHORS: SPACING: a' ;4" ,t,,,..41.4 1-L,444 it. e,0u,-+
EQUIPMENT USED: 7 g.,-,v..tc-c4-,7
EQUIPMENT APPROVED: Y�
FRAME REMOVED:PERMITED BY MANUFACTURER:
(PRIOR TO 1 1/89)
FOUNDATION TO LOCAL BLDG CODE: -.
SUPPORT LOCATIONS PER MANUFACATURER OR ENGINEERED DESIGN:
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SKIRTING: TYPE: f?tccii-c. +ij— c ci-i 1/" 0L 1? ' 017 PT
ATTACHMENT TO HOME:
POLY ON GRADE: Glc 191.6.61-e`G
ACCESS PANEL: eity u+rt 3-v-tek
COMMENTS ,Std- biac ,s " 1 rs,-:\'L_-.: ( 44-', ...:r`' j `J\i-: 1
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: -B6.4, DATE/TIME: I 'rt, 1J 1 G-;j ; I\ i'\
ORIGINAL COPY:CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER