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<br /> PERMIT NUiVIBER
<br /> /�a,,,,,,/f New Home �sed Home ❑ , �
<br /> Installer l ���' License# /�/1a2.�2/� ;�
<br /> � Home installed to the Manufacturer's Installation Manual ��
<br /> Address of home � �� ��� Home is installed in acc ance with Rule 15-C ❑
<br /> being installed . ❑
<br /> �' �� �35�� Sinple wide Wind Zone II , [� Wind Zone 111
<br /> Manufacturer � Length x width � � �7� Double wide ❑ Installatlon Decal#
<br /> AIOTE: ff home ls a single wlde flll out one half of the blocking p/an Triple/Quad ❑ :.,Serlal# 'P
<br /> !f home!s a triple or quad wlde skeich!n remalnder of home
<br /> Roof System:_�Typlcal Hinged
<br /> I understand Lateral Arm Systems cannot be used on any home(new or used) PIER SPACING TABLE FOR USED HOMES
<br /> where ttie sidewall ties exceed 5 ft 4 in. �
<br /> Installer's Initials Load Footer „ „ „ „ „ , �
<br /> i 6 x 16" 18 1/2 x 18 1/2" 20 x 20 22"x 22 24' X 24" 26 x 26"
<br /> Typfcal pier spacln� - capacity (sq in) (256) (342) (400) (484)' (576)' (676)
<br /> 2� ��� lateral � � �
<br /> r, .
<br /> I Show locations of Longitudinal and Lateral Systems � ^ ' ' '
<br /> (use dark lines to show these locations) ' ' ' '
<br /> longltudlnel � „ � , ,
<br /> � r � i
<br /> � � � �
<br /> • Interpolated from Rule 15C-1 pier spacing table.
<br /> PIER PAD SIZES
<br /> 1-beam pier pad size IZ�� x2-2,� a ze n
<br /> Perimeter pier pad.s(ze ����`.Q�� ��L.a x
<br /> . x
<br /> --- --------•-----•--------•--------------------------------------•----------- � -- Other pier pad slzes ' x .
<br /> ------------ --
<br /> �F�,�� �,�, (required by the mfq.) x
<br /> , x
<br /> �,�.} Draw the approximate locations of marriage x
<br /> wall openings 4 foot or preater. Use this x �'
<br /> mertiagewall plera hin 2�o+ nd of home pe�Rule 15C Ymbol to show the piers. x
<br /> X
<br /> List all ma pe wall openings pre r than 4 foot x
<br /> and their pler sizes below.
<br /> - ANCHORS
<br /> ._.........._�......._.. . _ . _ _.....�.........-•- ;-.._�..... . .� _ � .. � �. P ni p e p d size 4 ft �
<br /> ... ... _ . - - - �•-
<br /> en ra
<br /> r... ...
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<br /> ' � ' .j ,� ; � ......._ ....L...� � . ' .
<br /> 1 .
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<br /> , �.... ......_... FRAME TIES
<br /> i i 1.............�..._f i a....I 1....-�..•-••• � -�•••� .._j..•.!••.......:....._...__..1.............._...�
<br /> ....._........ , .......... .... . ,. ..... ,
<br /> : � � �....i � � i°..j....� . `�-..i-- T �'.. . � � ; � '...�.1 within 2 of end of home
<br /> . •-•-
<br /> F...;.....�....�.._. , .�..... .� _.(....... ..:...._ ..t--_.._...i.....;-•-.._..i•... ..r_. ...i.....1.._..�._..� � ��.
<br /> ... . ....
<br /> r..............._
<br /> , I � _,..._�... �_._.__....�...__. _ .,� f �..._�....:� � + : �....j.. � spaced at 5 4 oc_�,.G
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<br /> � � � . ,...._---� + � --.:.._......,...._ � • �.....
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<br /> �....�_...1....�...• (..:.i TIEDOWfd COMPONENTS
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<br /> i....j.....i........--I._......1_.�....�..._.....� l.....� l � � � .E. . �_..� �....�...1..---_. � 1 , � i....i Manufacturer C�1�V�2� ��0� Longitutlinal --
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<br /> P�RMIT WORKSHEET a e 2 of 2
<br /> PFFtIIAIT NI IMRFFt
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