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2013, 03-06 Permit FAS-2012-0010 InspectIC'ICITI OF� ,4L�picK,& r z>� �- 06t- �� po ane MANUFACTURED HOME INSPECTION RECORD CARD PERMIT #:�_��. alleyVOWNER: o. ADDRESS: MANUFACTURER Cm 4G MANUF DATE: o20e, MODEL: SERIAL NUMBER: "HUD" LABEL/STATE LABEL NUMBER: DATA PLATE: DEALER: � ipn, E© ycs -Le DEALER#: ELECTRICAL -L& I FINAL APPROVAL: INSTALLER: /p/1,c C �D4S L� WAYNES#: INSTALLER: WAYNES#: INSTALLER: WAYNES#: INSTALLER: WAYNES#: INSTALLATION INSTALLATION #: INSTRUCTIONS U� MANUFACTURER: NFPA 225 ANCHOR#: -?frE2 A fo ► )1 STATE: 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: O&4- SIZE: yuSIZE: 8 A DLJ 0-16 5 PIERS: MATERIAL SPACING: SHIMS: /Vp1` LOT/SOIL CONDITIONS: ANCHORS: SPACING: _ so /- O EQUIPMENT USED: 77 -ti 0, O R -S EQUIPMENT APPROVED: FRAME REMOVED: PERMITED BY MANUFACTURER: (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): h�� J. SKIRTING: TYPE: j ATTACHMENT TO HOME: � - POLY ON GRADE: ACCESS PANEL: COMMENTS *FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT* INSPECTOR: �j � DATE/TIME: 'j-6-13 ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER