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<br />- -~ --- ----- <br /> <br />--~-- ------------ ~ <br /> <br />------ <br /> <br />---.._----_._------~ ---- <br /> <br />PERMIT 1# <br /> <br />MOI3ll.E / ~u"F ACTURED HOME SET -1:JP <br />PI~RMlT APPLICATION SUPPLEMENT <br /> <br />Applicant 1~~__JUlI"1~ ___.__ <br /> <br />Address S'?LS-3 rlillft'" 6,.nt!.k S~ <br /> <br />-------- <br /> <br />Manufac;:r's Name-ii:~ EX- __ .---.----..- <br /> <br />Roof Zone ..:zl!.. _ Wind Zone ~_ <br /> <br />Number of Sections --'_ Width .&.._ Lenath -:!.~ Year } 17" _ <br />Manufactured date __il ? ~ <br /> <br />Inst31lalion ~tandard UlI,ed (chedt one): ManufKturer's lnanual__ 15C-l "1- . <br /> <br />SITE PREP ARA nON: <br />Under-home iRde cleaned of eLll vegetation and organic material ~U-_ <br />Sloped for proper drainaae ~~ <br />Distance (approx ) between finisbed grade and bottom of l-bcam(I)....l!l.f..oLJ.Jl. " <br /> <br />FOUNDATION: <br />Load bearing soil densit). ISao assumed 1,000 psf__ <br />· (Attach penetrometer test results per the requirement on the back afthis form) <br />Maimait fram~ blocks: Size /(,x,,, Placement oc~.L <br />Perimeter blocking: Size /t,xlfL Number 4 Location ~s <br />Ridge beam support: Size X Number >( Loc:alion)( <br />Center hne blocking: Size -2L- Nwnber _L- Location -L.. <br /> <br />Anchors (type); 6,000 _____ <br />Angle of strap '10 - 56 O~ <br />Number of frame ties 2 ~ <br />~urnber of sidewall anchors ~__ <br />Number of centerline anchors __ <br /> <br />4,725 ~_ <br /> <br />Spacing ~ 1/ OC <br />Nvw.tder (J f: L OHf.:-fcJ D;"''''/ <br />Nwnbcr of stabilizers i?1_ <br /> <br />77C$ ~ <br />- <br /> <br />InsuJlJer or Engineer __ <;;/ ~~~_. a---, c.-~.tJ:_/C <br />State L1CW1.ib_~(2-5..1a.__.______ <br /> <br />RF..QFlRED A TT ACHME?-./ ,{'S <br /> <br />~- ..... <br /> <br />1. FOUNDATION PLAN, TO SCALE, SHOWING <br />SC'PPlEMENT AL INFORMA nON. <br />2 S}1'E PLAN (2 COPIES), TO SCALE. <br /> <br />li'a\",".MCwIl....,.. /,e\lllld J~1y 1. ~ 999) <br />