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PERMIT WORKSHEET page 2 of 2 <br /> PERMIT NUMBEI t <br /> POCKEePmv <br /> NrTTEsT___ Site Preparation <br /> Debris and orgaric material rernovedThe pocket penetnom tier tests anded down to--.,,-, psf Water drainage,,Natural_._Swale ad Other—_ <br /> or check here to clech re 1000 lb.salt without testing. <br /> units <br /> Floor Type Fastener:�A-&. 5 Length: 6 Spacing: 14, <br /> -4;:-r. ',, <br /> Walls: Type Fastener. Length: Spacing*. //_ <br /> - 7. <br /> POC KET PENETROMETER TESTING METHOD Roof: Type Fastener: Length: Spacing: <br /> For used homes a min.30 gauge,8'7Vrdg,*`gsIvanized metal strip <br /> 1. Tw the perimeter of the home at 6 locations. will be centered over the peak of the roof and fastened with qa(v. <br /> roofing nails at Z'on center on both sides of the centerline. <br /> 2. Tat the reading at the depth of the footer. <br /> 3. Usl ig 500 dr,increments,take the lowest <br /> re t ling and round down to that Increment. I understand a property installed gasket Is a requirement of all new and used <br /> I I homes and that condensation,mold,meldew,and buckled marriage walls are <br /> a result of a poorly installed or no gasket being installed. I understand a strip <br /> it, V219 k; 3(2�� of tape will not serve as a gasket. <br /> Installer's Initiate <br /> I TORQUE PROBE TES <br /> Type gasket installed: <br /> The results of the lorq e probe test Is Inch pounds or check Pg.. Between Floors <br /> here if you are declarit g 5'anchors without testing , Atest Between Walls 4!5�re_ <br /> showlrin 275 Inc;h.$)oui do or less will require 6 foot anchors. Bottom of rk1gebeamB9q_=_ <br /> Note. A state approv,id lateral arm system is being used and 4 It. <br /> anchors are all)wed at the sidewall locations. I understand 5 it —Weatherprooling <br /> anchors are re i uIred at all centerline lie points where the torque test <br /> reading is 276 4 ir less and where the moblie home manufacturer may The ballamboard wig be repaired and/or taped. Yes t pg. <br /> requires ancho s with 4000 b holding capacity. Siding on units is installed to manufacturers specifications, Yes <br /> Instager's initials Fireplace chimney installed so as not to allow intrusion of rain water. as <br /> ALL TESTS ous r BE PERFORMED BY A LICENSED INSTALLER f4jscellaneous <br /> VREY C Vj/-)6-Aj'6R,, <br /> Installer Name Sltlrlfn.q to be Installed. Yes No <br /> Dryer vent Installed outside of skirting. Yes /-NIA <br /> Date Tested Range downflow vent installed outside of sIdrt(nRV. .es.. <br /> rt Drain lines supported at 4 foot Intervals. Yes <br /> L I Electrical crossovers protected. Yes <br /> Other: <br /> Electrical <br /> Connect electrical conduct o a between multi wide units,but not to the main power <br /> source. This Includes the ba iding wire between must-wide units. Pg. <br /> anstaller verifies all Inform to ng6verr with this pernalt worlasheat <br /> Plumbing I and true based on the <br /> .mand , -� - - on Instructions an <br /> al nd or Rule 1513-18, <br /> Connect all sewer drains to a i existing sewer tap or septic tank, Pp. <br /> ff, <br /> Connect ail potable water sul ply piping to an enislIng water meter,water tap,or other installer Signature A Date <br /> independent water supply avaterns. Pg. <br />