2012, 05-21 Permit BLD-2012-0618 InspectLAA-p7-6-1c)--
SCITY
poKane MANUFACTURED HOME INSPECTION RECORD CARD
VOWNER:#: PERMIT $L� -aO� �Qv {� ($ alle
4DDRESS:
t' 2 3 E c Ave
MANUFACTURER MANUF DATE: 1 ci
MODEL: SERIAL NUMBER:
"HUD" LABEL/STATE LABEL NUMBER: DATA PLATE:
DEALER: DEALER#:
ELECTRICAL-L& I FINAL APPROVAL:
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLATION
INSTALLATION #: /4064k--
INSTRUCTIONS U5 MANUFACTURER:
NFPA 225
ANCHOR#:
STATE:
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE:
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN: IPS
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUPPORT FOOTINI TYPE: LG
PIERS:
SIZE: fix. j
MATERIAL 4-6 4..cc/c..4ti\r-e41
SPACING: 1='1iti ' -c
SHIMS: Yes
LOT/SOIL CONDITIONS:
ANCHORS: SPACING:
EQUIPMENT USED: ScA-c,..,,,
EQUIPMENT APPROVED: I.S
FRAME REMOVED: PERMITED BY MANUFACTURER:
(PRIOR TO 11/89)
`
FOUNDATION TO LOCAL BLDG CODE:
Gc; c,,14 -y
�e S
SUPPORT LOCATIONS PER MANUFACATURER OR ENGINEERED DESIGN:-S
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SKIRTING: TYPE:
ATTACHMENT TO HOME: yes
POLY ON GRADE: 'YeS
COMMENTS
ACCESS PANEL: Yes
t) 5e.4jAcus A� Oil Can cCs � \iI
2) PIG ti,;us G,jJ/ � S ,11%i j w/ � ,oly
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR:
DATE/TIME: C )1 - P2,
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER