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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