2007, 05-31 Permit 07000325 Inspection CardSCITY OF
Okane MANUFACTURED HOME INSPECTION RECORD CARD
4000Valley
POWNEERMIT R: #: bn`] �� .Z,5
ADDRESS: V Q; -Vo.� 4/� 4 p� 1
��� � MANUF DATE: ���
MODEL: Conin SERIAL NUMBER: C`3�V.1 4%4 2 5--s-utcl
"HUD" LABEL/STATE '' :EL NUMBER: DATA PLATE:
DEALER: 6400 k) C DEALER#: iuC
ELECTRICAL-L& I FINAL APPROVAL: 3- z- v7 By F/M'v /3& /E
INSTALLER: rive" ✓c ,57tre. eav exe- WAYNES#: DA -i 4r4e,e6-4-- C)t- y'/ - i Vd f
INSTALLER: f E'g i6Aio mod, G tree- WAYNES#: L Q, cg_teL. / 7,r- 71S -7ffW
INSTALLER: (Pow e2. G i LIE WAYNES#: Tt,&ik, wag Ivea, $of - 5 3 S- �sOD
INSTALLER: WAYNES#:
INSTALLATION
ANCHOR#:
MANUFACTURER .ILL\ y`O80\
INSTALLATION #:
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: Gj Co mac, Bret Ltd 2 ' (i'S £{-;ve Stae L,r.u-rA 1 y 9)
SIZE: L' W\GLC X S11y "x YE4 M4ail �L�JNAiL�7'r
PIERS: MATERIAL X /(r, B%ocJL Pi6/2._
SPACING:
SHIMS:
61 ON eeQ
v ,.
LOT/SOIL CONDITIONS:
ANCHORS: SPACING: # q i‘ 9 r 0- c-
EQUIPMENT USED:
EQUIPMENT APPROVED:
FRAME REMOVED: PERMITED BY MANUFACTURER: IVO ,
(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):
Pi
SKIRTING: TYPE: �2ts-5-U/ZC T� g�"c::�� "tL/I t d 1 z X6 /2• 7,
ATTACHMENT TO HOME: L,/ES-
POLY ON GRADE: ' 6
ACCESS PANEL: yES 2 �f >e LiS "
COMMENTS
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR: 1i DATE/TIME: J
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER