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2012, 11-26 Permit: BLD-2012-0004 Inspect SCITYOrs' pokane MANUFACTURED HOME INSPECTION RECORD CARD PERMITOWNER:#: K Zo 1412,-;::::), y doov Valle ' bAn y ADDRESS: e k ! /F/off � � A v sPo �M 44i MANUFACTURERI!kl I c y Cev1-1 #04,4-5 MANUF DATE: A'-14- Ze I L MODEL: 2;32 SERIAL NUMBER: 2,55- ?9 Mc "HUD" LABEL/STATE LABEL NUMBER: 1,4(5 o?? 4r Z DATA PLATE: DEALER: VkIl j t fr4t1- DEALER#: £/y96 ELECTRICAL-L& I FINAL APPROVAL: INSTALLER: 0-054 f GkeZ WAYNES#: it 973 ?3 INSTALLER: yo 1-1N q es WAYNES#: Z24 7 INSTALLER: WAYNES#: INSTALLER: WAYNES#: INSTALLATION INSTALLATION #: ANCHOR#: INSTRUCTIONS U5 MANUFACTURER: STATE: NFPA 225 FOUNDATION: FOUNDATION TO LOCAL BLDG CODE: SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN: ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA): SUPPORT FOOTINI TYPE: j)y(,/` . Lri- S SIZE: (o" PIERS: MATERIAL if MO SPACING: Jtw-FA-rArfet-,e— SHIMS: LOT/SOIL CONDITIONS: ANCHORS: SPACING: EQUIPMENT USED: 5-i-0-)--Q EQUIPMENT APPROVED: t/.,-$ FRAME REMOVED: PERMITED BY MANUFACTURER: yr (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: 0)4'Or S,r,'29Sh5 ATTACHMENT TO HOME: "/t,5 POLY ON GRADE: y ACCESS PANEL: .c 5 70 cez, COMMENTS S+6WG1 s appW CoA h 'S *FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT* INSPECTOR: DATE/TIME: TS 0 rfrl //46 ORIGINAL COPY:CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER