2012, 04-24 Permit BLD-2012-0040 Inspection CardSKIRTING: TYPE:
COMMENTS
SjlOkBIIC
j�alley
ADDRESS:
MANUFACTURER �' f/rJ..' i`
CU5qM.:ilia V-1 1)_(,
MANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #: +L, D- /a -Q(• 6
OWNER:
MANUF DATE: 1 U
MODEL: C,, ,�-7-r»' ,>;%, SERIAL NUMBER:
"HUD" LABEL/STATE LABEL NUMBER:
DEALER: 5clcc%
ELECTRICAL-L& I FINAL/APPROVAL:
DEALER#:
DATA PLATE:
INSTALLER: t ma's 0 ,4
INSTALLER:
INSTALLER:
INSTALLER:
INSTALLATION #:
WAYNES#: o5T K.;
WAYNES#:
WAYNES#:
WAYNES#:
INSTALLATION
ANCHOR#: s�
INSTRUCTIONS US. MANUFACTURER: STATE:
NFPA 225
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:
SIZE:
PIERS: MATERIAL
SPACING:
SHIMS:
i
LOT/SOIL CONDITIONS: '=('-t Li) (1-0,-&
ANCHORS: SPACING: O 1 .I ` 5 AS t . ce►.ev«- '2‘G' J�El r (7 I
EQUIPMENT USED: 0TV ``
EQUIPMENT APPROVED: \tre_S
FRAME REMOVED: PERMITED BY MANUFACTURER:
(PRIOR TO 1 1 /89)
FOUNDATION TO LOCAL BLDG CODE:
SUPPORT LOCATIONS PER MANUFACATURER OR ENGINEERED DESIGN:
ELEVATION OF LOWESTFLOOR(IF IN A FLOOD HAZARD AREA):
ra
ATTACHMENT TO HOME: ye S
POLY ON GRADE: re.`7
ACCESS PANEL: ✓p
4-o C 64,7 .
� v.f /;,c, S`
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: 5�
DATE/TIME:
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER