HomeMy WebLinkAboutMHCO2013-2335—X- I
PERMIT #:
CERTIFICATE OF OCCUPANCY REQUEST
P, MaHUFACTURED HOME INSPECTION
$42.00 �r
ti Ir ' 134 2, -
NAME,
NAIVE:
ADDRESS:
ADDRESS:
CITY /ZIP:
CITYIZIP:
PHONE #:
PHONE #-
- (- ' V ..1a a Y —: '� �i F.. I� 7 ,AA�. L� df ,1 ➢ i "
I[ uep -tor or ae,�u&T
YES I NO
YES I Nj C
YES I NO
YES 6 NO
YES I 'NG
YES d NO
Only state inspscted and approved manufactured homes may be placed in parks. Gila EZ:& El" : 6WW"017 tjQ OSi ,
n.-cra t(I®ni e a � _. i i Y� d� � lfi d.._ 4�age lc pection placard must be permanently afflz ad
to the manufactur `
After the manufacture ome s GREEN TAG will be left on true electric meter.
A GREEN TAG will indicate a passed inspection and a RED TAG will indicate a failed inspection.
3. if a RED TAG is received, the manufactured home o Wic ns indicated on the ICED
TAG corrected. After corrections, call our office f
4 if a GREEN TAG is received, the building departu�aere w a Pare ease o company immediately.
I HEREBY CERTIFY THAT THE FOREGOING �S CORRECT TO THE BEST OF MY KNOWLEDGE
aAND THE SAID OCCUPANCY IS IN CONFORMANCE WffH THE aN FORMATION HEREIN SET
SU NATURE:
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410 -3165
Fax (817) 410 -3012 * www.grapevinetexas.gov