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■ r�u���■ ■�V�Orr�a <br /> � Site Preparatlon <br /> POCKET PENETROME7'ER TEST `/ <br /> � Debris and organic materfal rem <br /> The pocket penetrometer tests are rounded down to 1�f�Psf Water drainage:Natural Swale Pad Other <br /> � or check here to declare 1000 Ib.soil without testing. <br /> X� �( ,�-,,�� X,� Festenin multi wide units <br /> �)�� <br /> Floor: e Fastener: Len�th; pacinq: <br /> Walls: ype as Le Spacing: <br /> POCKET PENETROMETER TESTING METHOD Roof: Type Fastener: en , <br /> For used homes in.30 gauge,S"wide,galvanized metal strip <br /> 1. Test the perimeter of the home at 6 locatians. will be cen over the peak of the roof and fastened with galv. <br /> roofing ' at 2"on center on both sides of the centerline. <br /> 2. Take the reading at the depth of the footer. � <br /> G8Ske1 fweothorarootlna reaulremenq <br /> 3. Using 500 Ib.increments,take the lowest <br /> reading and round down to that increment. I understand a properfy Installed gasket is a requirement of ali new and used <br /> homes and t at condensation, mold, meldew and buckled marria e walls are <br /> a result of a poo ' stalled or no gasket being installed. I und tand a strip <br /> X�� X (�� - X�� of tape wlll not serve as et. <br /> Insta ' s <br /> • TOROUE PROBE TEST <br /> ' Type qasket � nstalled: <br /> The results ot the torque probe test is�inch pounds or check Pg. Between Floors Yes <br /> here if.you are declaring 5'anchors without testing , A test .._ eetween Walls Yes <br /> showfng 275 Inch pounds or less wili require 5 foot anchors. • Bottom of rldgebeam Yes <br /> Note: A state approved lateral arm system is being used and 4 ft, <br /> . anchor8 are allowed at the sldewall locations. I understand 5 ft Weatherproofing <br /> anchora are required at all centeriine tie points where the torque test <br /> readinq Is 275 or less and where the moblle home manufactur,er may The bottomboard will be repaired and/or taped. Yes t�'Pg. <br /> requfres anchors with 4000 f( b hQlding capacity. Siding on units is(nstalled to manufapturer's spec(fications, Yes�— w <br /> � Installer's initials Fireplace chimney Installed so as not to allow intrusion of raln water. �es–�� <br /> - ALL TESTS MUST BE PERFO MED BY A LICENSED INSTALLER - - ' - -M ellaneous - - - <br /> Instalier Name ���{n,Q � a� Q � Skirting to be instailed. Yes No <br /> Dryer vent instailed outside of skirting, Yes�N/A � <br /> Date Tested � Range downflow vent Installed outside of sklrting, �s N/A <br /> _ , Drain lines supported at 4 foot fntervals. es ✓ � <br /> Electrical crossovers protected.-�es <br /> Other: <br /> Electrlcal <br /> Connect electrical conductors between multi-wide units,but not to the main ower <br /> source. This includea the bonding wlre between mult-wide units. Pg.� Instalier veriftes all informatlon given with this permit worksheet <br /> um na is accurate and true based on the <br /> manufacturer's installatlon Instructions and or Rule 15G1 &2 <br /> Connect all sewer drains to an existing sewer tap or septic tank. Pg, <br /> Connect all potable water supply piping to an existing water meter,water tap,or other Installer Signature Date� Z�� <br /> independent water supply systems. Pg. � <br /> _ J <br />