2011, 12-20 Permit: 11002613 Inspect (.t l I ' 7 ,___-A-
SCITY OrspMANUFACTURED HOME INSPECTION RECORD CARD
.•••OValley
PERMOWNER: : J; ��,�!�(5\,<, p
IT #
ADDRESS: cc-C'`4, 1\..3 ('' a ir—
MANUFACTURER MANIA- ATE:
MODEL: SERIAL NUMBER:
"HUD" LABEL/STATE LABEL NUMBER: DATA PLATE:
DEALER: DEALER#:
ELECTRICAL-L& I FINAL APPROVAL:
INSTALLER: k241.4 /11 ,tor;STS WAYNES#: z ZS'(
INSTALLER: Vut ,t} 74.4-4S93 rr WAYNES#: ??(., I
INSTALLER: J WAYNES#:
INSTALLER: WAYNES#:
INSTALLATION
INSTALLATION #: 2_21. ( ANCHOR#:
INSTRUCTIONS U5 MANUFACTURER: STATE:
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE:
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN: ye $ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUPPORT FOOTINI TYPE:
SIZE: 48XDOC,
PIERS: MATERIAL Elf e(
SPACING: 5- _ .1--
SHIMS:
rSHIMS: i,Jc,
LOT/SOIL CONDITIONS: //
ANCHORS: SPACING: 07,7: _sys � vl
EQUIPMENT USED:
EQUIPMENT APPROVED:
FRAME REMOVED: PERMITED BY MANUFACTURER: /V v
(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: 7,- ,~ 4,A-1/
ATTACHMENT TO HOME:
POLY ON GRADE: /
ACCESS PANEL: A464( WV
COMMENTS
i\kcZ70 `Tfl -a-r ,Q p t SS 6-1% (-40-E-, tic S't &3&C
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: /AI DATE/TIME: 1-7- 'Z0 i 1 (°��
ORIGINAL COPY:CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER