2008, 06-19 Permit 08001461 InspectSpokane
jValley
MANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #: u. 1
OWNER:
ADDRESS:
MANUFACTURER C`? ,�(t;,; }5 4,
MODEL: x�p&- Y SERIAL NUMBER:
HUD LABEVSTATE LABEL NUMBER: 5
DEALER: _La\/TDl) -45r�
ELECTRICAL -L& I FINAL APPROVAL: lye5
MANUF DATE: 1 -OC
IL:,� DATA PLATE:
DEALER#:
INSTALLER: hlArr,#AYNES#: 2,4/41 / - �04t�jpU(a.541 RT
INSTALLER: kj I k) oly -I fifb 5S; 4 AYNES#:
INSTALLER: -Fphy y CA -(Z Vt pA j WAYNES#: �)L 1'1 Lf -STNS
INSTALLER: WAYNES#:
INSTALLATION
INSTALLATION #: ANCHOR#:
INSTRUCTIONS US MANUFACTURER:AH-GL&=pJWE51" STATE:
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE: �5
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN: EW - ll
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA): ti a
SUPPORT FOOTINITYPE: CpN 1 l i�L m GOMGQ.erC Ru L1rJts2s w I i oo lr.�.
SIZE: W, wlsF. -- `X I'l
PIERS: MATERIAL METOL STftb5
SPACING: 0$1 ;✓
SHIMS: >` hq
LOT/SOIL CONDITIONS: �pLIG�j
ANCHORS: SPACING: 11 �L�T
EQUIPMENT USED: 1' ST2�+F iU flrk'HoR (tet-61°Rknl INi� Goi�R�
EQUIPMENT APPROVED: J�Ll�C.1T Vnf11J -y�S
FRAME REMOVED: PERMITED BY MANUFACTURER:
(PRIOR TO 11 /89)
FOUNDATION TO LOCAL BLDG CODE: U, (�Nn �dLf Iul �; Jtij; pI LoW 5 i
SUPPORT LOCATIONS PER MANUFACATURER OR ENGINEERED DESIGN:�
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SKIRTING: TYPE: FCZj�SuP„r -i-6tTnm Ptyiz4✓)o. TRt i^r �fi F-4A4,F H1DCr-,
ATTACHMENT TO HOME: V' f! I Lf -,t b" 1 N-I-L� R, (A
POLY ON GRADE: . b L, PLA!�-.eL P?o t 12; ty hr'
MENTS
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: DATE/TIME:
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER