2009, 07-06 Permit: 09000638 Inspect SCITY OF ''
pokaneMANUFACTURED HOME INSPECTION RECORD CARD
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400.
ERMCG ej flValley POWNER:IT #: L
ADDRESS: v
1R'a 7
MANUFACTURER MANUF DATE:
MODEL: SERIAL NUMBER:
"HUD" LABEL/STATE LABEL NUMBER: DATA PLATE:
DEALER: DEALER#:
ELECTRICAL-L& I FINAL APPROVAL:
INSTALLER: „}ot}ti WAYNES#: ZVS!
INSTALLER: j: .;.. ;- WAYNES#: 7 3 )
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLATION
INSTALLATION #: ANCHOR#:
INSTRUCTIONS U5. MANUFACTURER: V U Ty (, *L. , STATE: IV4 .
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE: f3,,,,t
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN:
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUW0445 FOOTINI TYPE: SSrerK Ccywu S `/2" geithe1 M 3 Fooi-ot3.3 Z 6Ae okrio>5.
SIZE: Z7 ' 2 J' ' 6? ` Z"
PIERS: MATERIAL ; t'a�t.c4 duet ? r : ocA
SPACING: b Cyr A„,., r,. v# ,
SHIMS:
LOT/SOIL CONDITIONS:
ANNCHHOORSC1
: SPACING: q ' ,t Q�
EQUIPMENT USED: 11445
EQUIPMENT APPROVED:
FRAME REMOVED: PERMITED BY MANUFACTURER:
(PRIOR TO 11/89)
FOUNDATION TO LOCAL BLDG COCA::
SUPPORT LOCATIONS PER MANUFAC/NTURER OR ENGINEERED DESIGN:
ELEVATION OF LOWEST FLOOR(IF IN ';a FLOOD HAZARD AREA):
SKIRTING: TYPE: Vi.. tr-tmez
Pre'c3 ATTACHMENT TO HOME: 6,Xrvl#-A 4j) ,yt 'Lj
POLY ON GRADE:
ACCESS PANEL: 640 V&4 1.416 aM 1>0 v 444i
COMMENTS jr J0 L 6-5
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TILE ELIMINA'T'ION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: `) /4 DATE/TIME: 7- i
4
ORIGINAL COPY:CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER