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• _ � PERMIT WORKSHEEC I p8g
_ = PERMIT NUMBI=fir
Site Pr Iron
POOKET PENETR0MffMTES
Debris and organic matarto YAoved _
The pocket penstrometerteds are ro wn to psf Water drainage:Natural �/ Swale Pad Oifyer
or check hemAb declare t 0t�lb,soiil!Vt hvtit testl?rg.
• Fastwanq MUM wide unitss
X X X
TYpe-Fastener.— ta
Walls: Type Fastener. Lensith:POCKET PENEMOMEI t3T 7>±.MG METHOD Roof; Type Fastener. Longth, � qFor-used homes a 30 gauge,E , akvanlzed m' j` jp`
i. Testihe perimeter of the home at 6 loc�tlorrs: - wgI be centered over the beak of the•roof and fastened Wr h gate.
roofmg nails at 2"on center on both sides of the centetfr1% _
2. Take the reading at the depth of the footer.
—, -- - ,�--:--:- ----• -- - Gasket
S. Uring SW lb.Graremarns,take the lowest
reading and round down to that IncremenL I understand a properly Installed gaAd Is a rsquirerrrent of al newand used
. _ homes and that condensation,mold,meldew,and budded marriage walls are
a result of a poorly Installed or no gasket being Installed. I understand a strip
X X _X of tape wig not smva as a gasket.
irislaJler+s�iltfals
stalledt
The results of the torque probe test F Inch pounds or check- Pa.A ��U 1 Between Floors Yes -
here g your are decWing s anchors without testing - A test - Between Wags Yes
showing 275 inch pounds or less will require 5 foot anchom Bottom of ridgebeam Yes
Now A state approved lateral arm system Is bdM used and 4 IL
anchors ere allowed at'the sidewall lo�nsr, i urideramd 5 ft Weaumrprootnq
_ &=mss are required at all centwilne tie poh*wh®re the torque test
reading Is 276.or less and Where the miobile home manufacturer may The bottomboard will be repaired wWor taped Yes PM
requlras anchors with 9; Y• Siding on units Is installed to rnatwfac turees spec fhmtkm Yes
ittistailei's:fnitlals Fireplace chimney installed so as not to allow intrusion of tart water. Yes M
ALL TPSTS MUST BE P84F R Eb BY A L CEMED INSTALLER
Name ianeous -
Installer me Sklrtfng to be installed. Yes No
Dryer vent installed outside of sldrtlrig. Yis W
:1AateTasfed:,' Range downfiow vent Instalfed•outslde of ski _Y
- Drain fines supported at 4 fobt Intervals. Y
Electricalcr'+ossoversproteded Pest _
'Electrical
*nnpd electrical conductors between multi-wide units�but not to the main power
oume. 7his-1nFludes the bonding wire,between mutt-wide uri@s. Psi- Installer verifies aA information given vrrtfr this permit 1Ycrrlkstreet
PW-brna . Is accurate and true based our the
vnned all Sewn.drams to tsn mdstkrg smear tap orS�� P� manufacty IlaNan I c ttd oa Rule 750-i &2
onnect all potable water s�PIY Piping to an misting water ureter,water tap,orother Installer SJgnetui e Daie':> ��
rdependent water supply sysla rm Pg.