2010, 05-17 Permit 10000556 Inspection CardS"TY1.1.111.1\11111111111b
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PERMIT #: /ocof s ValleyOWNER: Gi j (c ri ;t her ` 0,1
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/y; ADDRESS: t "f I 1 () G( (C4-11 C.
MANUFACTURER / 7 j0A/-elf< MANUF DATE: , -B-) J
MODEL: (3\S SERIAL NUMBER: _ ,),-)
"HUD" LABEL/STATE LABEL NUMBER: s J if 00 3 DATA PLATE:
DEALER: , \,, \-, DEALER#: �% Z1 i
ELECTRICAL -LA I FINAL APP OVAL: yG
INSTALLER: ' $\f Fr` Cor\N6 ' a net
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INSTALLER:
INSTALLER:
INSTALLER:
MANUFACTURED HOME INSPECTION RECORD CARD
INSTALLATION #:
INSTRUCTIONS UE
FOUNDATION:
SUPPORT:
ELEVATION:
WAYNES#: O 3.6,6
WAYNES#:
WAYNES#:
WAYNES#:
INSTALLATION
ANCHOR#:
MANUFACTURER: f .J 1A
NFPA 225 A,i4
FOUNDATION TO LOCAL BLDG CODE: Apprevr ,, ry � 5 - 4- 0*1 plaoa
SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN:
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
STATE: e p
SUPPORT FOOTINI TYPE:
SIZE: 30\ X
PIERS:
MATERIAL St c{
SPACING:
SHIMS:
LOT/SOIL CONDITIONS:
ANCHORS: SPACING: /r
EQUIPMENT USED: m,`,-T VV\Osr\ stiv,p ys"r{��.
EQUIPMENT APPROVED:
FRAME REMOVED: PERMITED BY MANUFACTURER: Ijfj
(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: aX'-1 TE&4Te-4) I per ��2. Ivo%i4o
ATTACHMENT TO HOME: s �-,r, ,�+,r,s, j�/�. 1�J141Ld 1 "1 SD's7—
POLY ON GRADE: Ye.5
ACCESS PANEL: S 2,1 `q lv lAn,D If) wv� - SV.16-1„,,✓ad) a +> PM -
COMMENTS Se.- 6AcKS Apigmy, 1a G VitieS
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: DATE/TIME: 5— 1 — 1 0 - j
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER