2008, 08-28 Permit 08002283 InspectMANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #•
OWNER: r .t
ADDRESS: /
MANUFACTURER ' MANUF DATE:
MODEL: pan& Cp-r)-4A!i SERIAL NUMBER:
"HUD" LABEL/STATE LABEL NUMBER: DATA PLATE:
DEALER: VALE ? W A 5 0�� 53 �'1(3DEALER#:y3
ELECTRICAL L& I F AL APPR V L:
INSTALLER:- WAYNES#:
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLATION
INSTALLATION #: !9") 3 �� ANCHOR#:
INSTRUCTIONS U� MANUFACTURER: Ye,S STATE: W14
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE:
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN: Y,,2<
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUPPORT FOOTINi TYPE: C;.t Gre 4","es
SIZE: (otf
PIERS: MATERIAL
SPACING:
SHIMS:
LOT/SOIL CONDITIONS:
ANCHORS: SPACING: 81
EQUIPMENT USED: $ }-,2 f
EQUIPMENT APPROVED: S
FRAME REMOVED: PERMITED BY MANUFACTURER:
(PRIOR TO 11 /89)
FOUNDATION TO' LOCAL BLDG CODE:
SUPPORT LOCATIONS PER MANUFACAT RER OR ENGINEERED DESIGN:
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SKIRTING: TYPE:
ATTACHMENT TO HOME: n A -ti t -S
POLY ON GRADE:
ACCESS PANEL: i~r,A� pov t
COMMENTS So- k �) a, 143` AnerU Vt , .`
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: -�d) DATE/TIME:
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER