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,� <br /> ' _ z <br /> � _ .:� _ <br /> � -` . PERMI�'WORKSHEET page�2 of 2 � . <br /> -- PERMIT NUMBER- - - - ---- ----- --- ---- - -- <br /> - ---- ----- - ----- -�----- <br /> ' ' Slte Prepara8on <br /> POC P O ER T S <br /> Debris and organlc mateHa!removed <br /> The pocket penettnmeter tesfa are rounded down to psf Water drainage:Naturai Swale Pad Ofher ' <br /> or check here to dedare 1000 Ib.soll w(thout e'sting. • -" <br /> FesEoning mui w de u ts. <br /> X�� X('�� X�Q,O� � • i� <br /> Floor. Type F.asfener. GQ S Lengfh: � Spacing: <br /> Waifs: Type Fastener. Ler�gth; Spacir�g; � <br /> POCKET PENEYROMETER TESTI�10 MEI'f�tOD Roof. Type Fastener. Length: Spaatng: 1 �' <br /> For used homes a 30 gauge,8°wide,galvenlzed'metal attip <br /> 1. 7est the perlmeter of the home at e locatlons. w�ll be centered over the pea(c of the roof and faste�ed=wlth gafv, <br /> roofing nails af 2"on cehter on both sldes of the centerline, <br /> 2. Take the reading at Ehe depth of the footer. <br /> • ' -- - Geskat(vroatherpwoflna rom�lnm�n0 . . <br /> � 3,�Using b00 fb.Increments,take the towesf , • <br /> reading and round down to that lncrement I uhderstand a properly insfailed gasket is a requirem�nt of all new and used <br /> homes and that co'ndensatlon,mqld,meldew and buc{ded matrlage walls are <br /> ' a�esuit of a poody Installed�or na gesket betng[nstAlled. I unders}ahd a sfrlp <br /> X�,� X„� X� of fepe wlll not serve as a gasket, <br /> lhsha(lers IhiBals <br /> • O Q P OB 5 <br /> Type gasket lnstafle�l: ' <br /> The results of the torque prope test is a 7�-} Inch pounds or check Pg. BetWeen Floors Yes k <br /> here if you ar�dsclaring 6'anchors wlfhout testing �_. A test B�tween Walis Yes_ X <br /> shaw(ng 27&inch pounds or less wlll raquir�L�foot anchors. Bottom of ridgebeam Yes�� <br /> Note: A steta approved later�l arm sysEem ts befng asad and 4 ff. <br /> anchors ana atlowed at the sldewall tocatlqns. I understand 6 ft Weatherproaflng <br /> anchors are requlred at afl cet�tettlne tle polntg where the torque test <br /> reading is 276 or less and where the mobtle home manufacturar may The bottomboazd vulli ba repa(red and/or taped. Yes X , pg, � <br /> requires anchors wlth 4000 Ib holding capacity. Slding on units ts installed to manufacturet's speclftcations.' es�_ - <br /> Instatier's Init(als F(repface cMmney�(nstailed so as not to atlow intruslon of raln water, Yes <br /> Ai:L TESTS MUST BE PERFORMED BY A UCENSED WSTAL.L�R Mlseelianwua <br /> Installer Name �(��L (�,_��,�f'a(�� • Sklrt(ng to ba Instalied. Yes�No <br /> Dryer vent Installed outside of s rting_ Yes`x' N/A• <br /> D�te TesEed � /��� Range dowhflowi vent lnstalled outslde of sk�rting. Yes N/A <br /> Draln Ilnes se�p�rted at°4 foot Intervals. Yea�� • <br /> Ele�trical crossovers protected. Yes,�____ <br /> Other: • <br /> Eteatrlcaf - -a-� <br /> . ConnecE electrical bonducfors be�ween multi-wide ur�it8,but noE to the main power "- <br /> souroe. This includes the bonding wire between muit wlde units. Pg. �nstalter verifles ali inforri�ation�given�wtth this perm[t workslleet <br /> ___ wm�ng is accurate and true based on the <br /> _ connect all sewer dralns to an exisdng sewer tap or septic tank Pg. manufactura�`s Inshaltation Instructtons and or i2ute 15C�1'&2 <br /> Connect all potable wafer supply plping to an exisqng water matee,water tap,or other Instalisr Signatur�-�J Dafe 16 id l�� <br /> - , Independentwatersupply-systems.-Pg. -- - -- -- -- — -- -- - - -- - l <br />