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Y <br />:K <br />.�.1. <br />=? MOBILE HOME PE.RMIT <br />C�TY OF EVERGTT BUILDING DEPARTMENT <br />� 3200 Cedar Street <br />¢ Everett, WA 98201 <br />0 <br />Electrlcel Permit No. ��%o <br />' � o �o <br />Sewer Permlt No. ui � � N�,, <br />N � <br />�O p� <br />Mater Pernilt Na, o � °; <br />�o o�.. <br />Plunbing PeimSt No. � o� o d= <br />^ ac se c� c� <br />Mob11e Hane Patk Name v\ �\�� <br />Moblle Hane park Rddress �c �Q � <br />Speclal Property Use Pecmlt Nunber <br />Park Orner <br />Malling Address <br />Permlt No. T� ' qq <br />�etE � ��` O <br />Fee <br />No� (n <br />ll`��t/a�I��1 � � \ - � - <br />Mobile Hnne Ownet (� Phone <br />Mailtng Address <br />Hdne Manufacturer�� <br />Irmteller/Conttector � <br />Address � �(�.1 !� <br />Other buildings on the lot: <br />Reglstration No. <br />NOTEs 1. All edditlonnl att�ictu:es requi:e sepe:ata bi;ilding parmits, (Starsge birilding� decks, caiperts� etc.) <br />2. Prlor to xcupancy, the 6ullding Oepartment shall Snspect for conformance to the site plan epproved by tlie <br />Planning Oepattment. <br />3. All moblle I�anes shall be set ip in ccmpliance with the Washington State Moblle Home Installation Laws (WAC <br />296.15W.200 to 255) whlch ere ovailable at the Building Depattment. <br />PMK ONIJER'S LQiTIFICAT101J: <br />I lIGREE lIID CEfi1IFY 111lIT TfIIS MOBILE 410F1E WILL BE SITUATED IN /l MAMJER iHAT H1Ll pIEET ThIE SPECIFIC REOUIREI�IENTS OF 7FIE <br />SPECIAL USE PERMiT ISSUED FOR THIS PPFifC lIND THE /V'pLICIIBLE PF20VISIONS OF THE CITY'S MOBILE FpME FfJiK ;:9DF. <br />IF TIE INSTIlLLEfi'S CERTIFICIITSON IIS SEi FOfiTfl IN TIIIS PETIMIT IS NOi SIGNED BY TlIE INSiIILLQI� TIIEI7, BY SIGIIING i1115 <br />I'FIiMIT� TIE SIGNIIIUi Of' 71E PMK OI1M:11'S G£(tiIFIClITION /ILSO AGREES MD LQ2TIFIE� i0 TtIE FOLLOHING: (1) TlUIT i11E Ml67LE <br />FIOME XILL BE ItySTN.LED IPI ACCORDlINCE MIiH 1fE REQUIRETIENTS OF TFE SPECIlIL FROPERiY USE PEFU�IIT ISSUED FAi iHIS PMK pNp <br />!VA (2�TH�LTIIE h10B1LE Npt MILL BEnINSTCPLLED 7N ll MQiKMlIfA,I�KE MMlNEft ATNpTHING IEREIN ISCINTEN�ED TOEClNIJGEPiFIE LEGIIL <br />REL!liIONSHIP BETMEEN 71E M09ILE HOFE OMNER� MOBILE HR4E PMK OXNER AFD T}E INSTN.LER, <br />SIGFED UATE <br />--�Paici—Ownerl anager <br />Cl \ <br />ItST11LLER�S CERTIFICIIIIOIJ: � � V �-- � <br />� i'�� i S r�'Q_, �i F'���2��� D leo�it..��Arin <br />t nvc�E n�n �n71rv lrint nii5 MoetLE IIqiE MILL sE 1NSTALLEO IN FlccOnonN� XITH�THE�E�EN S I ECI�L FTtOFERfY USE <br />FEqHIi ISSUEU FOR 711I5 PMK /IND TIIE RFPLIClIBLE REqUIREMENTS Of �fHE MlISHINGNN 51J11E 1��!B1LF IIOI.IE II�IST�IL�TION Llln3 PIA 1lIE <br />CiiY'S MOIiILE FIOFIE PNtK COUE. I FUtTF4R AGfiEE M!D CERTIFY THAT THIS MOBILE HOME INLL BE INSTfiLLED IN � WOtil(61III�IKE MMdJER, <br />S1GtJED <br />DqTE Z /Z6 ��(C�D� <br />-'----'---'--'--'-'-'-'-------'--'----" " -------'-----------'- <br />OPFICE USE ONLY BELOW TliIS LINE <br />Setbacks: Front <br />Speclal conditions or instructtons: <br />Side <br />51de <br />Rear <br />Approved for permlt issuar�ce: <br />�PIann ng epar men —' � e <br />6/28/87 <br />19B&1 <br />