2007, 12-11 Permit 07003893 Inspection RecordSiokane
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MANUFACTURER L.1 C
MODEL: SERIAL NUMBER:
"HUD" LABEL/STATE LABEL NUMBER:
DEALER: DEALER#:
ELECTRICAL-L& I FINAL APPROVAL: it
INSTALLER: Sat .b g WAYNES#: Q 1 ip
INSTALLER: j/rgnes j 7kiefr s ;7Z,v WAYNES#: & a
INSTALLER:
INSTALLER:
MANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #: O ID 0 %9
OWNER: Try-
ADDRESS: _ 9I-OckaLi`
MANUF DATE:
DATA PLATE:
2kx
WAYNES#:
WAYNES#:
INSTALLATION
INSTALLATION #: ANCHOR#:
INSTRUCTIONS U5 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 FOOTING TYPE: �, , iS c s, e ,- ,-,
IZ
PIERS: MATERIAL g `5r. 1 (T 19) li4-1.AS
SPACING: UF-4. ukA.s
SHIMS: i., ,,,,�i , L
--LOT/SOIL CONDITIONS,
ANCHORS: SPACING:
-EQUIPMENT USED:
EQUIPMENT APPROVED:
FRAME REMOVED: PERMITED BY MANUFACTURER:
(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: fre..4- ( 1d4 4/
ATTACHMENT TO HOME:
COMMENTS
POLY ON GRADE:
ACCESS PANEL: Aii,ti9/ ;,, h / /
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR:
DATE/TIME: (7__ - I I- 0-1
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER