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PERMIT WORkSHEET -page-2 of 2 PERMIT NUMBER Site Pre Atlon r POCK P -3 N 1 ff:ffF r1r Debris and organic material removed 1< other The pocket genstrometerjosts Are rounded dowh to QI= psf Water drainage:Natural_Swale-Pad. or check here to declare 1000 lb.soil _without tebting. Fatanina mitild%91de Glits. X-2CCO XaM6 XL&O Spacing:Floor r LCL Type Fastener, Length: tr Walls: Type Fastener.iAxK: Length: ad POCKET PENETROMETER TESTING METHOD Root Type Fastener. Spacing:Length: For used homes gauge,8 wide, vanized eta strip 1. Tee the perimeter of the home at a locations. will be centered over the eokof the rmo an nedl Ith gain. 3 roofing netts at Z'on center on both sides of the centerline. 2. Take the reading at the depth of the footer. roasket1weathowpoung re4ulmmen4 3. Using 600 lb.Increments,take the lowest reading and round down to that Increment. I understand a property Installed gasket Is a requirempat of all new and used homes and that condensation,mold,meldew and buckled marriage walls are a result of a poorly Installed-or no gasket being Inbtalled. I understand a strip x x AMX of tape will not serve as a gasket. Installer's InitialsO f2P2 PROBETEST Type gasket -AS AI t(d" Installed: The results of the torque probe test Is A?14 --Inch pounds or check Between Floors Yes )C' here If you we dad.-Ong 1551 anchors without—testing A test BetweenWalls Yes X- ff an ors. Bottom of ridgebeam Yes less will requln L 'Foot showing 276 Inch pounds or r`0 Note: A state approved lateral arm system Is being used and 4 ft. WaWSZr-p—roofing anchors are allowed at the sidewall locations. I understand 6 ft anchors are required at all centerline tie points where the torque test reading Is 276 or less and where the mobile hpme manufacturer may The bottomboard will be repaired and/or taped. Yes X Pg. requires anchors with 4PI holding capacity. Siding on units Is Installed to manufacturer's specifications.'lies X .X�? Insfillees Initials Fireplace chimney Installed so as not to allow intrusion of rainwater. Yes ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER m1sca1lancous Installer Name 'OL r'0-L& 1 .11 !Bock IS Skirting to be.Installed. Yea of ding 0 Dryer vent Installed outside i . WA Range downflow'vent Installed outside of oldr—ting, Yes MIA Date Tested Drain lines supported at--4 foot Intervals. Y6§ X I Eledtrical crossovers protected. Yes Other: 7 . Connect electrical bonductors between multWde units,but not to the main power sourda. this Includes the bonding wire between mutt-wide units. Pg.— Installer Verifies all Inforrhation-given'with this permit worksheet Is accurate and true based on the manufactureesinstallation Instructions and or Rule 15C-1&2 Connect all sewer drains to an existing sewer tap or-septic hinK Pg. Date Installer Slgnaturs�=�� 5y Connect all potable water supply piping to an existing water motor,water tap,or other 'Independent water supply systems. Pg.