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HomeMy WebLinkAboutLA175442 � i � �. � � ��i����°����� � � � � , e �.� � :� � $ � T & ' Y A W 4 �1. ' t i ♦ A b •" ! II +�-, f f R - s t - ... a. e,' a � ; _s , .a -e a 8 i, s ar: i e sas� e� 7� s a - 1.. .:b 3.$. 0-: :.3 � - b � � ir':,+}' 8`� i �i �: r-$ i&i j.; Bx �q � a� "a ��^ �., � tl: k. I: _ y. tr;.! �:i:: �. f 0 F M _ ' ..I..e. � .. ,._ ts :`� �:ft"' � � t i' 6 s i�: , i ' '.. .., . .. � iY �x Y YTe ' Pn� `}5 M:� � of ' 6 A _ 3 Y�; � ♦ ' 9'♦ - .}B� �}i/' �a- . R ! I � �� I��k ) , �• .x r�: �� {� � y � F+ ss ,s;e �� •: � /� b a '-i ; 0_ i • !�" � . � � � � � I�I'i+ ' 4 � �� e : ♦ -i " : c� . ' ` .i+ fY �. . ��� . � �� d � _ _ F-, ♦ rs:ca 4 + fr :.# !" i c_— , ��� �; _ I i - ':t�'�' " >;i � a�_�_ f�&. a �`1��.t �. a 't � tf f':. ( ea- 4 t: '.a.: i� fi � ♦ �� �;:9� ��.R�� :..> '4 �^�4do � it7�.'_i� .'�.". �:tf� � � '/:: �' Man��#actured Hc�m�Sy���st�►ff�l�vit �his farm must be cornpi�ted in its entirety and be submi�Cted at the Bui�din;g Final ir�spection for the insiailat�n ofi a »ar�u�actured�►ome. �!{tests rir�ust be compteted and signed oifi on this form. A�erEifcate t�f occupancy urill rroC be ssued untit this c�mpleted form is ceceived. �� � � ���.. ���-��...,. �YSTE�AS TEST YERIFICA"f�t}�i De�a'ip�on t3at� Passed S�natur�of Tester 3rain i.ine: PE,rsuarn�o CFFt 32�.612{67 oate: �rirrt t�iarr�af T�r and C�r�pany: Ai�t t.!!'fe: Pur�nt bct C�R 328{?�612(a) D�a#e: 'rint IV�of Te�r ar�J�ort�p�rty: r ixtu�`e T+�St: Pur�uarrt ta CFR 328�.812{c) oates 's'irtE Name of i'��t 8rnt Comparty: a�TeSfi Purs��r�t to CFR�.7U5 ar�i 1FGC 4t�.� t�ate: �j-��-�� �".� �t tVarr�of T�ter and Ca�sparry: �J(�..��` ��`�S� ��`,�;�` ��3I`�,,,�{�.�j�, �1�Ct!'�C�!Q�1'8t'�!?�1: Puc��uan#tc�CFt2 3285.74� E?a'te: '�N��Of Testet atui Cc�my�ny. �!@Cti'i�itl AC►��y: Pursuanf Lo GFR 328�.7U2 Date: �nt fi�aurs�of Tes#er�d Ctsrnpany: : �CB��:t�tt'�!'lU1iy: Ptu^sua�'tt to CFF2 32�.7(}2 Date: �rir�t N�r�e c�7�r a�i C�o�ny: ��k+�A#at�#T8s4�� l�ea�t ta G�R 328t?� Da#e: 'tint N�rte t�Tes�'�ci ny: t�rtify tt�e�te s�r r�g tt�s c:c�m ar�d was�C�tttd to tye in w�i�pta . , �t�d�ar yste�s� � -- � � - � ,. ��� . _