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� PERMIT WORKSHEET page 1 of 2
<br /> PERMIT NUMBER ��
<br /> Y I�C._I S License# �-r1l��Z� � New Home �Used Home ❑
<br /> Installer � �
<br /> Home installed to the Manufacturer's Installation Manual
<br /> Address of home ��� UC�(��.1 rQ1Nl� l� ��U� Home is installed in accordance with Rule 15-C ❑
<br /> being installed �
<br /> , �J�J Single wide 0/Wind Zone II ❑ Wind Zone III �/
<br /> - �
<br /> Manufacturer � Length x width �� ��� � Double wide ❑ Installation Decal# 2Q�o��
<br /> NOTE: !f home!s a_sing/e wlde flll out one half of the blocking plan Triple/Quad ❑ Serial# ���� �Q�
<br /> if home is a triple or puad wlde sketch in remalnder of home
<br /> - Roof System: �ypical Hinqed
<br /> I understand Lateral Arm Systems cannot be used on any home(new or used) PIER SPACING TABLE FOR USED HOMES
<br /> where the sidewall ties exceed 5 ft 4 in.
<br /> Installer's initials �oad Footer
<br /> � " ' ' bearing size 16"x 16" 18 1/2"x 18 1/2" 20"x 20" 22"x 22" 24"X 24" 26"x 26"
<br /> Typical pier spacing capacity (sq in) (256) (342) (400) (484)' (576)` (676)
<br /> 2 1 ,/ � �ate�ai �
<br /> �_ ,�� '
<br /> I Show locations of Longitudinal and Lateral Systems ' " ; ; '
<br /> longltudlnal (use dark lines to show these locations) ' '
<br /> i n i i �
<br /> � � i �
<br /> � � � �
<br /> * interpolated from Rule 15C-1 pier spacing table.
<br /> PIER PAD SIZES
<br /> ��
<br /> I-beam pier pad size 1� � �Z a ize n
<br /> x
<br /> Perimeter pier pad size M1Y1��0�\ X��0„ x
<br /> x
<br /> ---�"" �" � Other pier pad sizes X
<br /> ---------------------------------•------•----•-----------•-------------•--------------� ---- .
<br /> 1 �,.,�� t ,.,; (required by the mfg.) X
<br /> x
<br /> Draw the approximate locations of marriage x
<br /> wall openings 4 foot or greater. Use this x
<br /> �•�� •••� symbol to show the piers. x
<br /> martiagew plerswith 2'of end of hom per Rule t C x
<br /> Lis II marriage wall openings greater than 4 foot 6 x
<br /> and th ' ier pad sizes below.
<br /> ANCHORS
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<br /> � ; � � � i � � f � f � , � I � � i t ; 1 ° ' � f i ; ' i � ( 1 ; � i ' ' Longifudlnal Stablllzing Devlce(LSD) Sidewall
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<br /> PERMIT WORKSHEET a e 2 of 2
<br /> PFRMIT NI IMRFR
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