HomeMy WebLinkAbout071-150-011MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION --7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 --- PHONE (916) 538-7541
APN:
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PERMIT NO.:
Owner's:
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Name:
Owner's:
Address:
Mobilehome
CFO �0- /-7 75
(ear of
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Manufacturer
Manufacture:
Serial number
Insignia or
0-3�qg 3
or V.I. N.
HUD number:
Official approving installation:
Date:
If the mobilehome is moved or relocated., the mobilehome -installation acceptance shall become invalid. This form shall,
not be used when the mobilehome is i��Iled on a founclaiion system.
White -Owner, Yellow -installer, Pink -Bldg., Gold -Assessor
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