HomeMy WebLinkAbout069-540-013MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT NO.
Address or location of mobi lehome -?0 4 17� dj-) o (01
Owner's name
Owner's address
Insignia or hud number- 3 1 J'o 6 3,s 6 9
Manufacturer's name 4
Serial n U r of �,-IN. A Year of manufacture
(Official Appro—vi'66 Installation
IF THE MOBILEHOME *IS MOViD OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
L513B White - Owner, Yellow - Installer, Pink - D.P.W.
TO: Building Department ;�4
FROM: Encroachment Permit Section
RE: 'Driveway Clearance
&LI 0
owner location AP #
Driveway permit has been issued for the above property.
number
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jsna ure d'�I;'
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