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r;: -_ •r :_ PERMIT WORKSHEET pago 2 o 2
. - - sire Prcparawon .
POWET I=lvsJ RCO TM
Debris and ot'ganic rnaterlaI_ tai oved
7lre pc�relmmetsrtests ars ro wn to psf Water drainage:Natural V swab Pae( Other—^
orcheckheralb declare 10M lb.,sol ww3hvzit testing, _
Frrstenrnq utura wrda tmlti'
X X X t�11 IV.
Raor: Type Fastenea: t snpfh: l Spadngc r`
Walls: Tyne Pastener: Le�n�: Spadns %
POCKET PENEMOMETt�t 1E'a"fJ S METHOD Floof. 'type Fastener. L enWfr
For-used hornes a 80 gauge,8" %gaWantxed rn stiip ^'
I. Test the perimeter of the hwha nt&bcatlons. - Writ be centered a{7erthe pe of the goof and fastened gh,pak
tnofirrg nails at 0 on center on both sides of the cenimlms
2 Take the read-ng at fhs death of the footer
.: - - - �,.a_skettrreaesi«�oi►ns�reguksu,erd� -
9. Hb9 SW 4 kiotmer4%take the lowest
react and sound down to that increment. t tmders'tand a properfiy Installed gasket Is a rmquIrament of all newpnd used
homes and that c ondensetlom mold.meld w and budkled marriage walls we
a result of a poorly metalled or no gasW being lnstaliett I undeastand a strip
X X _X of lapd will not serve as,a gasket.
- lnstatlet's itriilals�=�
Q it PaD E. ^ •_
Type gasket
Instatleci
'the roswts of the torque probe testIs. —hrdh pom is,or-heck' - Pm Betwe m Roars as
halts ti you aha der3arfng&anchors wBhout testing` . , A test - Fetwae n Wafts Yes
:�rbtiwllyiJ X75 ince poctrrds or less ty}ll require S foes anchors Bottom of ridgebeam Yes
Nate; A state approved lateral arm system Is being used and 4 I
anchors are allowed at'lhe sldewail locations i uridwAand 5 tt wpm
;mss are required at all centerflne He poirx F wfx rsfhe torque test - -
readhto I9275or Is=wW where the mobile_home ruanufadturermav ibe b-Mrnbnard wrM*Im repairer =Worteged Yes Ps
requires anchors with kiln!capeditY. S-idura on unfits fs installed to cnanuf w tuer`s snecffhmUbns Yes 4 '
- In swler's intttais Fveplade d*nm p fistalted so as not to allow kdruslon of rain water: Yes
ALLTEM'S MU>',T$E PM1F0 BY A 13MISED INSTALLER -
Installer Name - Sk3[ttng to be installers Yes No
I)ryerverrf walled orde of skfirlirrg Yes NI
Date Tested Ilstrge downtfiow vent kist�ted'outslde of ski ' g„ �WA - -
�..�.■ Ddh Ones suppi7rled at 4 foot intervals Y ._./
Electrical crossoversprotecte& Yes N/
Other. '
r=Wd eledricat condudom between multi wider tmJt%but not to the maul power
(� outer)- 'J'his Wudes the bonding vents between mutt-wide un tm Pg Instafler verifies all icrforrnaiiorr given with this petxrrit Vrlcr*Sheet
c-,n is ams and true basest ort the
orurod all sewer drams to tn wish m sewer tap orsq%a tank. Per. trranufaciu Italia and of Mule 160.4&
onneet all pantile water stgrply pll>ing to an ee6sting wafer meter,vmter rapt orother tnstaJter SJgnettrre Date .�
xiependeryt water supply��;+&. firs- _