*PA 145.91(e) requires this form to be completed in it’s ENTIRETY and be returned to Champion Modular Inc. and provided to the local AHJ*
INSTRUCTIONS 1. Set crew and builder are to fill out their respec ve sec ons. 2. Builder is to verify form is completed in it’s en rety. 3. Save completed form to an easy to access loca on. 4. Click the ‘mail to: Champion Modular’ link at the bo om of the form. 5. A ach completed form (subject line will be filled in automa cally). 6. Retain a copy for your records and furnishment to local AHJ.
*PA 145.91(e) requires this form to be completed in it’s ENTIRETY and be returned to Champion Modular Inc. and provided to the local AHJ*