2009, 09-04 Permit 09001881 Inspect4
Silli OI
pokane MANUFACTURED HOME INSPECTION RECORD CARD
r PERMIT #: [ , 00 1 �-C6
,;o*Valley OWNER:
ADDRESS:
MANUFACTURER ��� Yin n —� MANUF DATE:
MODEL: #44#14 5* SE IAL NUMBER: { {L O/7 -,p J'/- DD 4,Cff3Jg
"HUD" LABEL/STAT LAE BEL NUMBER:1 ��c) (7 DATA PLATE: 002 /11R
DEALER: L'�tccn �ic/� /// �aa�A DEALER#:
ELECTRICAL-L&IFI AL APPROVAL:
INSTALLER: WAYNES#: Q
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLER: WAYNES#:
INSTALLATION
INSTALLATION #: ANCHOR#:
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 FOOTINITYPE: 7,qts
SIZE: 3 V V, "K -V (P'
PIERS: MATERIAL Cy m �{
SPACING: 1 5p trv5
SHIMS: L4/6..j
LOT/SOIL CONDITIONS:
ANCHORS: SPACING:
EQUIPMENT USED: ( (f, w c
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):
SKIRTING: TYPE: f rt t" //
ATTACHMENT TO HOME:
POLY ON GRADE: rS
ACCESS PANEL: P
COMMENTS �
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: P6 DATE/TIME:
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER `