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CERTIFICATE OF OCCUPANCY RE®
MANUFACTURED HOME INSPECTION
ADDRESS- •,
NNW
C T Y0P.
What 4s the of e• home? (LOO I N `aQA FT MINIM
Wffl there be any alterations to any structure on the lot7
(if yes, permits are required.)
Do you plan to build any structures or porches?
0
YES r M0
(if yes, permits are required.)
VVill e manufactured home be • to the power pole?
VLS I NO
Will an air conditioner be set and wired?
V E N a
V,M be connected?
YES!
CWy state inspected and approved manufactured homes may be placed in parks. ivkj) RV's g
State Inspection placard must be permanently affi;md
to the rrnanufactured
P ter the m�a��rffact�c red ...�ie�?� �s r�c�t�� tnsp�c orti, a RED or GREEN TAG will be left on the electric meter.
fi`, G EL N! /A,1C ��wHJ indicate a passed inspection and a., RFED TAG wwila indicate a fa°Ha i�s� ecti
I`7 a ��D ti a is received, a€�e au���fiacttuared h ®rrue w ne� or ue a �o d'� Grave 4�e it:e rs i �licat
ITAGcorrectedl. After correct6onis, call our office -for are, nspa -_Uon° f 817) 00 -30I ®,
� e -a release- y
%f aGEL TAG is r�,ceoved, the �eroldi� dtiparik��e�t ��oll i�a.� a relca�e t ® the electric �,® a� orrted'iatel,.
U [z�REPOG r CE��ff FY a FL�,7 L F011 E GOO KI3 CS CORIN,.EC T '11-0 T ALE SO T OF fps Y XNV� ,IVL 0,0E
AND THE SA0 OCCUPANCY �S Fib C KIrORKq,�kNCL THE FFHIFORRF, ii %`v-'F RI' HEREIN S_�7
RINT NAME:
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410 -3165
Fax (817) 410 -3012 * www.grapevinetexas.gov