Laserfiche WebLink
��db <br /> MOBILE pOME PERMIT ZS� <br /> CITY OF EVERETT BUILDING DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98?O1 <br /> Electr'::al Pe[mit No. /��� Fprmit No, ���� <br /> Seuer Petmlt No. Oate I����� <br /> Mater Pe[mlt 1b. <br /> �� <br /> Plumbirg Pecmlt No. Fee `�� � <br /> Nobile Hme Fark Namc _ .��1�. r�.tv „��.�-i,af, h���.=/eLj' ���� ; � ./ � Space No. J� <br /> � <br /> � p <br /> Moblle Fiane Perk Address J�L, ? 7 ,� `G '� �^ ��,�� f t.�C��;� �r' %i �� � C��7 <br /> see�i.i arme�ty us� ��ic rn,�ne� /33 <br /> �1�n HGric.. <br /> Petk Orner ,�.�.��]'gGf-�.r- phone f -707-�'7ry��o—(0 3,} S! <br /> Haiii� aaa�ess l��ty �/c„ �� �� . f'S'yyZ— <br /> � ` ^ / ' ��i <br /> Hablle Hrnre Ormer % �r�.,/ ��. 7 ��i[!f - � =0�. , � Phone .�,��� .�j�%O <br /> . <br /> Hsiii� naa«ss // � � .�.�•Cv . ��r"r .y�� ��t., � Z/ /✓• l�1 e -P <br /> � <br /> � <br /> Flome Harwfacturer ,�. ��„_�-. <br /> ✓ ������ <br /> InstallevContractor ��,'yy) �' i rj'�j� r��� phone <br /> / a�� rno H r�3ai'N <br /> llddress_J"rA-�/��c( Registration No. � <br /> Other bulldings m the lot: C'��1i S V�GC�� <br /> NOTE� 1, ail eddltlonel structuree require aeparete bullding permita, (Storepe bullding, decka, ca�ports, etc.) <br /> 2. Ptlor to occupaney, the Bulld'np Depertment shall lnspect fot confoimance to the slte plan epproved by the <br /> Plemlrg D�partment. , <br /> 3. llll moblle hmes shall be set �p in cortpllence ���h the tlashirgton Stete Moblle Home Installatlon Lars (III1C <br /> 296.15W.200 to 255) vhlch are availeble et the Buildl.ig Oepertment. <br /> PMK OMER'S CfliiIFIClITION: � <br /> I I�GREE MU CEfiTIFY THlli TIiIS M�ILE HU1E XILI BE SITURTED IN p MIIMlER THAT NILI IfEET 7FIE SPECIFIC REIXIIREFENTS OF TFIE <br /> SFECIAL USE PErHIT 155UED FQ2 THIS PPfiN IUA TFE APPl.IG1BLE Ri0VI5I0N5 OF TFE CITY'S MOBILE HOME PPliK CWE, <br /> IF TrE INSi1lLLER'S CERTIFICqTION AS SEi FORiH IN THIS F'FIWIT IS NOT SIGFED BY 1}iE INSTIILLQi� THEN� BY SIGNING THIS <br /> �ERHIT� 11E SIGNIII[12 OF iiE PIYtl( OYRER'S CfRTiFIC11iIINJ ALSO p(iiEES MA C£RiIFIES TO iFE FOI.LONING: (l) ifUli TFf MOBILE <br /> MJME XILI QC Ir15TN.LED IN pCLQiUI1NC£ XiTH 1FE REQIIREMENiS OF TFf SpECIIU. HiOPEFiTY USE PE7WIT ISSUEO FUt iNIS PMK MD <br /> TIE At'RICPBIE RE4UIREMENTS OF TfE MASf1INGTON STAtE MOBILE HOFE INSTNIATION LIINS AND TFf CITY'S MOBIIE HOME PMH CODE; <br /> NA (2) i1NT TrE MOBILE IfR£ MILL BE INSTPLLED IN p IlOfilOAMLIKE MMAAt. NOTHING FEREIN IS IMEbCD i0 CfUUlGE ilf LECIIL <br /> RELATItlfSHIP BETMEEN TIE MOBIIE FiR,E OIR�kR� MOBILE F�ME PMK ON1f7t APD TFf INSTALLE}l. <br /> SICPEO _y ��",�el`�/�1G-O � ORTE �I— �—�(� <br /> ar wr��� an er <br /> INSTIILLER'S CERtIFICllt10�: <br /> L.r��q 33�-�s5rs5 <br /> I IIf7EEE IIIO C42TIFY TH4T THIS MOOILE HU�£ NILL BE INST�LLED IN ACCORDANLE XI1H iflE RE4V1RE1£Ni5 OF TIE SPECIPL RIOPERTY USE <br /> FEIiNIT ISSIED FQi TIIIS PMK ptA TfE MRICfl&.E REp1Ii7EhENTS OF TFE M�SHINGTON STRTE MOBILE IIOME IHSTIILUTION LAMS IVU iFf <br /> C1TY'S F100I1E HU1E PMH CODE. I FIRTFfR AfAEE MA CERTIFY TNFT THIS MOBILE FIOME IN1L BE INS111LLED IN Il tlaiialAN.IKE HIUIlER. <br /> SIGNED � ��C�. DlITE__I�'-I —�/ <br /> —�In`sEa-T er <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> OFFICE U�E ON.Y BELOX THIS LINE � � ���� � .,�, . .. . � <br /> � ill`Ui1�liUr:� ( <br /> Setbacks: Front diS Side� Slde _ _ ,_ , � Reat �,(' <br /> �'C`i .�i� _ .,',c,,� <br /> :��;i�, I,�;'i:" <br /> Specfal conditions or instructions: (��S ti/OT �'IcG'T MiNiM�fM S���D�CJC FfzMl��� <br /> �..;i�-,,.G �. :.��:;. ...,.., <br /> t�i✓E -s+. �UST /yE�T S� �'�t� <br /> h+ptoved fn: pecmlt issuance: ,� j,2��� �� . <br /> ( <br /> O <br /> O'�' n��Kl .^pntMFn ��aFe ' __ <br /> 6/7Q/87 <br /> 1�etr� <br />