2010, 05-13 Permit 08003609 InspectSpokane
Valley
MANUFACTURER
MODEL:
MANUFA TURED HOME INSPECTION RECORD CARD
PERMIT #: - J (pl
OWNER:-pc_et-a L 4071a
1 ADDRESS: p' S 'Cd �. C.ht�'t:F���
uA i E ?u,a_cc `-I MANUF DATE: i 1'78
SERIAL NUMBER:
"HUD" LABEL/STATE LABEL NUMBER: 12P. s7 S DATA PLATE:
DEALER:
ELECTRICAL-L& I FINAL APPROVAL:
INSTALLER:
INSTALLER:
INSTALLER:
INSTALLER:
DEALER#:
INSTALLATION #:
WAYNES#:
WAYNES#:
WAYNES#:
WAYNES#:
INSTALLATION
ANCHOR#:
INSTRUCTIONS US MANUFACTURER: STATE:
FOUNDATION:
SUPPORT:
ELEVATION:
SUPPORT FOOTINI
PIERS:
NFPA 225
FOUNDATION TO LOCAL BLDG CODE: ('/( y Z
SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN:
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
TYPE: Z;iAAerS
SIZE: /6YIA k b
MATERIALtctk
SPACING: ,
SHIMS: Ye-S ! (�r(Dc
LOT/SOIL CONDITIONS:
ANCHORS: SPACING: ! ev,sva u I ;; 4nu A)/
EQUIPMENT USED: i rhsu „T 77:critvdit)
EQUIPMENT APPROVED: )es
FRAME REMOVED: PERMITED BY MANUFACTURER:
09
(PRIOR TO 1 1 /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: /
COMMENTS
ATTACHMENT TO HOME:
POLY ON GRADE: Yes
yEs
ACCESS PANEL: Yes
ks-
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR:
DATE/TIME: ?gel AM. S-i>-ro
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER