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' . ���ov�s a wc��crr�a�a��a � �ayC �,.�� <br /> � P�l��16� �9U61���6� .. <br /> � � <br /> � ' rte eparat on <br /> POCKE�"P F20iUl TEST �- - � <br /> Debris and organic m�fe,'rSal,rem ved � L.� <br /> The pocket penetrometer tests are rounded down to�psf Water drainage:Natural�wale Pad Other <br /> or check here to declare 1000 Ib.soil without testing. <br /> as4en ng mu ei w� e un�ts <br /> , , n�.��.'C� �]2C�_ x 1��0 � <br /> - ' Floor: T Length: ` g: <br /> Walls: Type Fastener: � Length: Spacing: <br /> POCKEi'�Ef�ETROMEfEt�'SES'fINGMEf'HOD RooE Type Fastener: Spacing; <br /> " For used homes a mi gauge, ' alvanized metal strip <br /> 1. Test the perimeter of the home at 6 locations. will be centered e peak of the roof an ith galv. <br /> roofing nai 2"on center on both sides ofthe centeriine. <br /> 2. Take the reading at the depth ofthe footer. <br /> �- G25k2t(woathorprooting ro ulromont) <br /> 3. Using 500 Ib.increments,take the lowest <br /> reading and round down to that increment. I understand a p riy installed gasket is a requirement II new and used <br /> homes and that conde on,mold, meldew and ed marriage walls are <br /> ��I�' a resultofa poorlyinstalled gasketbein talled. I understand a strip <br /> x � � J� X�(� X ��� ofitape will notserve as a gasket, <br /> staller's in ' <br /> T'ORQ PR B � <br /> Type gasket Installed: � <br /> The results of the torque probe test is�inch pounds or check Pg. Between Floors Yes <br /> here ifyou are declaring 5'anchot�s withouttesting . Atest Between Walis Yes <br /> showing 275 inch pounds or less will require 5 foot anchors. - Bottom of ridgebeam Yes <br /> Note: Astate approved laterai arm system is being used and 4 ft, - <br /> anchors are allowed atthe sidewail locations. I understand 5 ft eat erproo �ng <br /> anchors are required at all centerline tie points where the torque test + <br /> reading is 275 or less and where the mobile home manufacturer may The bottomboard will be repaired and/or taped. Yes ��. Pg. � <br /> requires anchors with 400�ng capaci�Y• Siding on units is instailed to manufacturer's specifications. Yes �— <br /> � installer's initiais , ! � Fireplace chimney installed so as notto allow intnasion of rain water.-�e�s�� <br /> AL.L�'�STS MUST BE.PERFORMED BY A LICENSED li1lSTALl.ER sce aneous <br /> Installer Name (^ �,1 � (/�� Skirting to be installed. Yes_ �/ No <br /> Date Tested �� Dryerventinstalled outside ofskirting, Yes N/A t/ . <br /> Range downflow vent installed outside of s'kirting. Yes N/A ✓ <br /> _ Drain lines supported at4 footintervals. es�,� <br /> Electrical crossovers protected.�Ces� <br /> Other; <br /> ectrica <br /> onnect electrical conductors be#ween multi-wide units,butnotto the mai�l�ower � <br /> �urce. This includes the bonding wire between mult-wide units. Pg. <br /> InsYaller vere�Oes a0@ information given wiY�h ghis pererv�i$wortcsheer <br /> um mg �is accurate a�ad grue �ased on tBie <br /> onnect all sewer drains to an e�asting sewer tap or septic tank. Pg. �nanufacgurer's ins4alla�ion ins4ructions artd or iZule �6C-� � 2 , <br /> l 1 <br /> onnect ail potable water supply piping to an e�asting water meter,water tap,or other _ SnstaEler Signature Date��/��� <br /> dependentwatersupplvsvstems. PQ. <br />