2012, 11-26 Permit: BLD-2012-0004 Inspect SCITYOrs'
pokane
MANUFACTURED HOME INSPECTION RECORD CARD
PERMITOWNER:#: K Zo 1412,-;::::), y
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Valle ' bAn
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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