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PERMIT WORkSHEET <br /> PERMIT NUMBER <br /> UK—ET PEREFRO-VU 15R TEST -.11te Preparatio <br /> The pocket genetrometertests Debris and organic material removed are rounded dowh to Qwp psf Water drainage:Natural or check here to declare 1000 lb.son wIthout tatting. Swale Pad Other <br /> Xifto <br /> Floor. Type Fastener 1a 5 Length: Spacing: <br /> POCKET PENETROMETER TESTING mETHoij walls: Type Fastener. Length: Spacing., /I <br /> Roof Type Fastener Length: Spacing: I <br /> ' V-�D <br /> 1. Test the perimeter of the home at 6 locations. For used homes a 30 gauge,8"wide,galvanized 7�n­efai at p <br /> will be centered over the*peak of the roof and fasten t lthgalv. <br /> 2. Take the reading at the depth of the looter. roofing nails at 2"on center on both sides of the centerline, <br /> 3. Using 600 lb.Increments,take the lowest Gaskot(Wootherproofing <br /> reading and round down to that Increment I understand a properly installed,gasket Is a requIremprit of all new and used <br /> homes and that oobdonsation,mold,meldew and buckled marriagb walls Are <br /> X a result of a poorly Installed-or no basket being 1116tAlled. I Understand a sirlp <br /> X6!WO of tape will not serve as a gasket. <br /> TORQUE PROB TEST Installer's lnitlaI43�0— <br /> The remits of the torque probe test Is-9t Inch pounds or check Type gasket Installed. <br /> hem if you are declaring 6'anchors without testing A last Pg. Between Floors Yes, <br /> showing 276 inch pounds or less will requin [Lloot anchors. BetweenWalls yes <br /> X <br /> Bottom of rldgebeam yes <br /> — <br /> Note: A state approved lateral arm system Is being used and 4 ft. <br /> anchors are allowed at the sidewall locations. I understand 6 ft n <br /> anchors are required at all centerline tie points where the torque test Weathe roafl <br /> reading Is 276 or less and where the mobile home manufacturer may The bottomboard will be repaired and/or taped. Yes x <br /> requires anchors with 4P.11 11,dlng capacity. pg. <br /> Installer's lnit <br /> Siding on units Is Installed to manufacturers 313001fica ions' 'as <br /> late Fireplace dhlmney Installed so as not to allow intrusion of rain water. yes <br /> ALL TESTS MUST BE PERFORM15D BY A LICENSED INSTALLER M18-1 ansous --------4--------- <br /> Installer.Name <br /> Skirting to be Installed. YL-4 No <br /> Date Tested Dryer vent Ins(411nd outside yes 6�V <br /> Range downfloWvent Installed outsnide of W rting. Y aA <br /> Drain lines supported at:4 foot Intervals. Yea —N/A_ <br /> Elodbical crossovers protected. Yes <br /> Ereetrtcat Other: <br /> connect electrical conductors between multimwide,units,but not to the main power <br /> sourde. This Includes the bonding wire between mull wide,units. Pg. <br /> V—1u m—bTn a Inifailer Verifies all Information glven'wlth this Permit wor <br /> ksheet <br /> Is accurate anti true 48sed on the <br /> Connect all newer drains to an existing sewer tap orseptio tank. Pg. manufacturer's Installation Instructions and or Rule 15C.1&2 <br /> Connect all potable water supply piping to an existing water meter,water tap,or other Installer Signet L O 9 <br /> Independent water supply splems. pg. <br /> A <br />