HomeMy WebLinkAbout033-010-075MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF B16t-TE
DEPARTMENT OF PUBLIC WORKS - T7 COUNTY CENTER DRIVE
OROVILLE CALIFORNIA 9596� - TEI EP -0-E — —
PERMIT NO.- 93 — 1866,
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Address or location of mobilehome
Owner'- narn. Le), " 14 1,
Owner's address 0/ -/
Insignia or hud number
Manufacturer's name -9
Serial number of V.I.N,
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Fl. P'l 9 A4',l IZ70-5 14 - Year of manufacture
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All
IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION,;
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED
WHEN THe
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
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r -..Ii-. USE ONLY
e, V Plot Han All.ched
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TO: Building Department
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FROM: Environmental Health
SUBJECT: Sanitation Clearance
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(Avner Location AP#
Plan Approved for: Sewage Disposal water Supply: PLiblic Private Well
Clearance for 3 bedroom mo�k;e home. Other
Hold final for:
Final clearance O.K. for:
NOTE:
4 e- AIL—
Environmental Hea�lth Specialist Date
8/92