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PERMIT WORMHEET <br /> P,ERNTNUMBER <br /> Installer f� �.( 1 +. Llcense°#i ` "�' ��1���7 New Home Used Horns Q <br /> 1 J'l.l Homa`.ins%tied to trio a - <br /> M nuEacturers-tnstatiatlon:MantraT <br /> Address-of home ! f' Home'Wristalted.-InAccandance witKRule j&C <br /> being Installed 2 [] <br /> 9ingfie'pvfide' Q Wtntt,Zone.11 'WifidZon- ItT d, <br /> Manufacturer Length x width �. X � `y Double.yrlde; [� Installation Decal# <br /> NOTE. - If home Is a afhgle-wlde fill out me half of.,fhe:tilooking <br /> f hom.plan 7NplelcZuad; Sertat# <br /> if hams is a:trlpl�r or.grrad wlde.sirefcti.,fn norrialnder-ae _ �`� <br /> e Park Model <br /> i and rstand:Laterai:Arm Systems canna#be used nn,any,home;(nawor used) <br /> where'the sldawall#!es exceed 6 tt 4 in: I 0__ SPAGTNO,.j.AaL.H FOR USt3a NoMES <br /> Installers.lrtinals �-�._ Load Fgotet .- : - ' <br /> TyPlc$I pier spacttig -�. ` tieeufag size: <br /> 18'x48"~ :185�'ic18'ttz' 20'xX2b` 22"X22" 24°X,24" 28'"x-,2G" <br /> hteinl CaPacltY .(�R tn) (25B).. .( 42), (400I (676) <br /> 2' <br /> Show.locatlnris d Longltudlnat.and Lateral Systems IN <br /> .. <br /> (use dWt llnes to show thes%I canons) <br /> $ = - <br /> • <br /> PIER PAD t - S. 0 �� ' <br /> tX1O"ImOWdft1ft6RUI9.4O G1.ptar epncfn�.teble: <br /> _`� <br /> I-beam pier pad size - ac . zea n; <br /> Perimeter`.piar padsize x' <br /> other:peier pad•slzas .� _. x._ <br /> ra ulrd:la t e. � <br /> (:.9_. � h �:)�tf'FJ�C,it.1��t-•�C�Xsf"'� .x; <br /> . <br /> 171 m�sl.g Gi cthoni.crtu.te�6C- :sD_Ymwb athleto e.ppr oxinate locatlonsofma. le ge <br /> s4:tao#;oegeater.. Use <br /> sthi 20 <br /> 12 <br /> ze w.#tepet;� <br /> xx X <br /> List`aTi#iiafiTag"Wall ope111100-toater.than 4 foot <br /> Ooent <br /> and'flielr pier:pad;sizes tseio_v+: x <br /> ' ' ANCHORS , <br /> nq Pler pad y size <br /> .. ._ . <br /> PRAMS^ttias.—1 <br /> within 2'hf:end.of ho <br /> spaoedat,614'1:oc.' <br /> .. .. : •• �oltiifPONENT'sr7 OTHER <br /> Fiumlisr <br /> Long udlndl.Stabllfiing;L7evlca(LSD} - Sloeti+iatf`' <br /> Ma n�i ;Longitudinal,'* <br /> l:on udlnal St_ <br /> Manufacturer I( ng Device w:i atc _ Marriage wall <br /> Man S <br /> "� <br />