2011, 05-09 Permit: 11000970 InspectSpokane
_=Valley
kofeesPOY
(Ott`6-CC5
MANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #:
X
OWNER: (5\c/� 1 Ac,\used-
ADDRESSr gmLT1 V - - -
MANUFACTURER MANUF DATE:
MODEL: SERIAL NUMBER:1) 14 673 z ycl / y 6c 4
"HUD" LABEL/STATE LABEL NUMBER: DATA PLATE:
DEALER: DEALER#:
ELECTRICAL -L& I FINAL APPROVAL: e x513
INSTALLER: jvt, atpJ&- WAYNES#:
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLATION
INSTALLATION #: ANCHOR#:
INSTRUCTIONS UE MANUFACTURER:f4 v/tA/n",1 STATE: ty4
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 FOOTINITYPE: 42 y 8' y /of
SIZE: -/ 0 N l A. P j
PIERS: MATERIAL C o �CrF- a T A/v -k
e
SPACING:
SHIMS: ve S
LOT/SOIL CONDIT.I1NS: t
ANCHORS: SPACING: '/ I' Dr) 'Yt € d d wvJ
EQUIPMENT USED: 1 fc6 1112,1'Ste I- GTYAPI ;,,,/ /It"! s
EQUIPMENT APPROV D: /�
FRAME REMOVED: PERMITED BY MANUFACTURER: no
(PRIOR TO 11/89)
FOUNDATION TO LOCAL BLDG CODE: .47e S
SUPPORT LOCATIONS PER MANUFACATURER OR ENGINEERED DES(G�N+�:,�/ -p s
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA): P "
SKIRTING: TYPE: CarrcA.s-7 I/cv c4- S- An. -y
COMMENTS
ATTACHMENT TO HOME:
POLY ON GRADE: Q D / ✓ w g -,--
ACCESS PANEL: / i /i
tai r4 Pk blo
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
DATE/TIME: b - 11
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER