Loading...
HomeMy WebLinkAboutLA175135 � 1�� 1?-�� ��� ,�����..�'� �''r�`���► � r ; . , "�i�.��:�u��-�i���i��.�����d�°su����d�t t�te.�fEd����il���n�ar���i��c��. " �: u��� ���t����� , � �n�s�r��d�f��;�th��r�: ��?��k��€� v��:�!� � ����.�� ���� . �;'���'�"�`�i�l��'�� ��1��. " ����s[ �� �:'�� ���1,��:1���nt�e►�'��.���;�� �: � �� � =��i�lr��" : ��: �,��. � �- � " � , � � � � � ; = �``i:�1-�� t�...� ` '�a�r L��<�+�r�+���'������� �y S S �. � �������+���; I'°� ,� �,�� ,. �1��'t`����e►�tt���.������ ` �a�� � 9�P I�Cj , , � � ��� ` ��` r ��r� F d� !$d�. �;.�.��.— �� � � � � � � . .�"�`�t'P�,t�t�t��������+�#��;�.+� �� i�e�: � � � �� � ��"��,���t�T�����t�; � `����i'������F'c�t�f�r�����'�� 13a�e:� � � G�'�� �.�......���� � � �'��.#F��1t!>�� �' �� �� � � � � � � t��� .� �r��� �+� a�. � � P� . #7#'� . �td�Pt�l�' l,� �t1 ,�' �`�: ��� �. .; _ .�I��,�F��i`��:�� ��: f ����� ; �. � � ��� ���t� �. � . u � � �� � - -- ' �(V�c�1"�r at��tp�'. �� , a� , � � ����tm'�+�5�,������:�a� �� � a� �-� � � ��r����'���r�,�: � , � � �k-t��- L L�. v � . ,� , ���y�;��������►,�►�����s������i�����r�� .. ��� _ - - � , : � �.���. ����� � -. �. ,hv.. � , . . �� r... � , � � � � , � � ��-� ���� � .�� � � �anufacture� Hc�mre s�stems Test A��fida�rit �.r.�. .,..�. �.�_ _.__� �is fvmn must be completed in its er�tirety and be sttbmitted at the Bui�ding Final inspectian far the ins#altation c�f a nanu€actured home. Ail t�sts must f�e�mp[eted and si�ned off c�n tt�is for�. �cerEi�ic�te o#occupancy wifl�ot b� �sued until ti�is cc�mpleted fc�rm is reeei�ed. �;�� � ��, j�� � � ��- l SYSTE�ilS TES1"VERIFICA"T�t�l+1 Desr,ription t�at� Pa.ssed S�nature af Tester }P�tIt1 �Mtt�: P�rsu�t to CFR 3?.8t}.692{b} Qate: 'rirft Name o#Tester aru3 Company: IV�!`#+.�t1@: PurSe�nt ta CFR 328{).6�tz(a} E�ate: xrir�t Ns�me t�T�ar�i C�rtpany: �iX�1ti�!!TtB� P'ursesartt#o CFR 32�.612(c} Date: 'r�t Narr�e of T am9 Corn�ny: ar�S T�S� Pursuant�CFR 3280.7tI�snd IFGC 406.4 Oate: �-�j' �� . -.'� �rint Narne of T�ster�!Cc�rnpany: �j�,�'�(` ��t'JS� ��S`�l �}�► ��}{�Q-�C'. ��13GtT'�CS[U R?t1�1: Pt�°suant ta CFR 3285.7€�2 D�te: 'ritrt N�n�e Of T+�ter ar+d Cort�pet�y� C��C'�C�I Pt1��lt'�#y: Putsu�r►t to C�R 3"��85.702 LTate: 'rrrrt N�r�+�f? �i Ccxr�pany: : C8�C.t'�t1t1�fU�f.y: Pt�uartt to CFR 3285.702 Cta�e: 'firrt N�e c�Te�'ar►d Gcx�tP�Y tl�#Ok@�1'tt!T� Purs�.ta�tt�o C�R 3?.$fl.208 - rit}t IW�me�T�'�rui Cart�atty: ' #t�e abt'�te sys�t�r�s ' t�E�t�tn and�fc�und�a 6�in c�rt�' �ith 3� . 'c�s�`t�t't�i� � � �}�+ � �� � �