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~ • Li <br /> .PERMIT WORKSHEET vega I.of 2 <br /> PERMIT NUMBER <br /> O New Home Used Home Q <br /> Installer 72r� .� License# <br /> 11 Home:insta}lad to the Manuaacturaet.Installatlon Manual <br /> Address-of home � l� �Yu• Home It lnstalled'iri accordance Mfh�Ruie 1b=C <br /> being Installed <br /> Li 'Singfe wide ,[� VIltnd Zone!! � Wind-Zone iR •[� <br /> Manufacturer U--Nr r 1ONN Length xwldth W�v� -� ! Doublew(de [) installat}on.Decat# - <br /> NOTE:. - if home is a single wide fill'out one half of the blocking Plan TrlpielQuad. Ssrlai# <br /> if honia is a triple or quad wide.sketch?n remainder of home .�. <br /> Park Model 6 IR.. � ; =8------ <br /> I understand LateralArm Systems cannot be used on an.home.,(new or used) PIER SPAGtt3Q,t.ABLE:FOFt-USED H'OMLS <br /> Whena the-sidewaii'ties exceed 6 ft 4 In. instdl6es initials <br /> Load Fcoter :16.X1i3'' 18i1Z X`l8i1`r 2Vx2V '=k22'.; '24°X:24° 28"X.26" <br /> beating size: (256) (342): ow) (484p, (578)` (87b")- <br /> Typical plat spacing -, aepaelty. .(sq in) . <br /> ltalol <br /> 2' - <br /> Showiocations of longitudinal and Lateral Systems <br /> (use dark!Ines to show these.locatlans) <br /> 8 <br /> lntemainted`f m-Rule.lbGl.ptar"no table: <br /> PIER PAD.SIZES _ O <br /> i-beam,pler pad size a ize n, <br /> Perlrneter.plerpad slze x <br /> x, <br /> :x <br /> �.-----_._.___-----__-__ Other pier pad sizes � <br /> (required by thb.mfg.) x,22. <br /> x <br /> 171 Dray the;approximate locations of-mwrlegq . <br /> [M <br /> 4,foot or.greater. Use.this x <br /> MW410/*1 plats vfihls 2 ollwW of homo perkob 16c symbol f0 shoW ttte p1618. X, <br /> List all marriage wali openings.greater than 4.faot X <br /> and thelr:pter pad sizes below ANCHORS ,. <br /> Opening. Pier pad_size <br /> Oft <br /> ( -FRAME-TIES <br /> withlh 21 of end of,ho <br /> spaced at 5'4".oc. , <br /> �L J. .-TIEDOWN COMPONENTS OTHER Ft!»8 <br /> Number <br /> Lang udlnel.Statb11&ing:Dovice.(LSD) STdewai( <br /> Ma ter iongttudMai ' <br /> Lon udlnal.st�,II ng.Devlce_ . •aAFj _ s Marriage wal} <br /> r Manufacturer'" Shestwall <br /> t_ .... _... ... - v <br />