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PERMrr WORKSHEET gaga zof 2
•' PEi�ltll{T NUMEE i _..- :..... - -
slte Pr+ azutton
- 006M PEMEMOMETER,-ams-r
Debtfs and organic material mMoved
The pbcket pansttornatertests are xo�to Psf Water drainage:Natural VSwale Pad other -
or check hare4bcedars 1 DUO lb.soil wrMwa testing
Fastening hnuiti wide units
+ X X X . i' �� r
Boor. Type Fastener: Length: . , . S�aaoing:
Wads: Typa Fastertor: t_enntfi: Sparing:
Poomr P1rIimomal TBSIINtt t'dlUMD Roof; Type Fastener: Length: Spacing: ��i ,
For-used homes a SQ gauge;8' day rantzeci In
f. Test the perknater of the home at 6 tocationr,. - wIH be cerrteretf aver the beak of thevoof and fastened W h Aaty.
roofing nails at 0 on enter on both sides of the centerRine,
2. Take the reading at the depth of the tooter.
Gasket M�ihcrarmflny�
9r Ui7g 5tI0 Ib- icttrient:,takes the lowest
readmit and round down fie that lnrsar7hetit. l undam-Und a Property Installed casket Is-,a regairement of all newaind used
homes and that condwsation,mold.msldew and btrclded marriage watts are
a result of a poorfv Installed or no gasket being installed- l undars-tand a strip
X X— -X of tapd will not serve as a gasket.
Instamoes Initials
TOMU15 PROffe TEST
Type gasket y0ck 1 Installed:
7Fte:rssults of the torque probe taut is_ `— } inch pormds or check- - Pg. Between Floors Yes
hero if you are declarbit9 5'anchors without testing - A test Between Wags Yes
sbowinl#275 inch pounds or less will require 5 foot anchors. Bottom of ddgabeam Yes
Now A state.-wrovad lateral arm system fs being used and 4 IL
anchor are ai3awed attlhe.sidewatt laxations i.understand 5 ft casette ructtn
anchors are required ed all cwtetAne tie pointe cabersthe torque test '
reading 1s 2P&or lass and%hare the mobile_tome manufacturer may Tho bottomboard vA ba repaired wWor taped, Yes Pg.
requires anchors with g Siding on units is kistetfed to manufaotureft spe tions. Yes
installer's fnitiats Fireplace chirnneY Installed so as not to anomer inirtnsloa of rainwater, Yes
ALL TE=MUST SB PS F'Ofi ED BY A 13C134S>;D IN.STALLER esus
Installer Name -I skirting to be Installed Yes No
- DataTasEed Dtyerventinstalledo:>tsufarifskltt3rrfl- N!'-
Range downflow vent Instalk xtoutslde of ski WA
' Drain supported at 4fbd IMgrvals. Y — ��
® Ble0biMl crossovers protected. Yes
:onnpA electrical conductors between tthuM wide units,but not to the malt power
MUM tints Ittrtludes the bctxMg wire between rnult-wide its fig. Installer verifies air information,given with this per mIt Warkshimt
is accurate and true based ole the
cnned all server drain to tzrt existing sewer tap orsoptie tank: Pg. mantrfacturet' Ctatlan and or Rule 9si"t; &2
o„tinned all potable water supply piping to an existing water meter,%®der lap,or other
Installer sinnalm
,dependent water supply syslams. Pg-