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PERMIT WORKSHEET page 1 of 2
<br /> PERMIT NUMBER -
<br /> 1 ,� ` ' n�r�� New Home [.� Used Home ❑ "
<br /> Installer ��(��Q� ���1l�� License# `�-Y��L�l,l� �
<br /> Home installed to the Manufacturer's Installation Manual
<br /> Address of home ���1 �\11 �'� ��= Home is installed in accordance with Rule 15-C ❑
<br /> being installed °-� ,.,`,. . , �
<br /> G-�(J r v�Y 1�.S' _ � ��J�47_ Single wide [� Wind Zone II [� Wind Zone III ❑
<br /> Manufacturer ���U,� 1 Length x width ��� X ��� Double wide ❑ Installation Decal# Oa�" !���
<br /> NOTE: !f home!s a sfngle wlde flll out one hali of the blocking plan Triple/Quad ❑ Serial# � • � 3��D�1
<br /> if home fs a friple or puad wide sketch in remalnder of home
<br /> Roof System:�ypical Htn�ed
<br /> I understand Lateral Arm Systems cannot be used on any home(new or us_� PIER SPACING TABLE FOR USED HOMES
<br /> where the sidewall ties exceed 5 ft 4 in.
<br /> Installer's initials Load 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 /> p p i � lateral
<br /> 2' � � � � �
<br /> IShow locations of Longitudinal and Lateral Systems � �� � � �
<br /> longltudlnal
<br /> (use dark lines to show these locations) � � � �
<br /> i n i � �
<br /> � � � i
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<br /> * interpolated from Rule 15C-1 pier spacing table.
<br /> PIER PAD SIZES `�
<br /> I-beam pier pad size ���� X22 a ize n
<br /> � x
<br /> Perimeter pier pad size � 11 X �0 x
<br /> ... . x .
<br /> ---' �-----------------------------•-------------------------- - �... � Other pier pad sizes x .
<br /> - •--------•----•--------------y ----
<br /> j F ...J ,.�,..� (required by the mfg.) x
<br /> x
<br /> ••� • Draw the approximate location marriage x
<br /> � all openings 4 foot or gre . Use this x
<br /> �••� s bol to show the pier x
<br /> maniag wallplers hln2'ofen ofhomep rRulel x
<br /> List all marriage II open' gs greater than 4 foot x 2 6 6
<br /> and their pier pad s s elow.
<br /> ANCHORS
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<br /> PERMIT WORKSHEET a e 2 of 2
<br /> PFRMIT NI IMRFR
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