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MOBILE HOME PERMIT <br /> CITY OP' EVF.RETT BUILDING DEPARI'MENT <br /> 3200 Cedar Street <br /> Everett, WA 98201. <br /> � .� <br /> . i <br /> Eleettinl Petmlt No. �� ����,�' ��' Po[mlt No. �' I L� _� <br /> Serer Permlt No. ��� Oete � � �'�'<-� �S `1 <br /> M.tar Pe�mtc rb. �� ( ��VL'`1Va I^�•I "�+G� C, ��') - <br /> 1 Plunbinp Pemdt No. / Fee � Z�� ' <br /> Hoblle Hane PerR Neme �4�(�4������ I'S�✓� r i� � Spece No. ��%�> <br /> Moblle Fbme Petk Address i `f Z'� '�'C% ,�- �T � �.! <br /> Speclel Praperty Use Rermlt Idm6er IS- � �7 <br /> P�Ik Orrtllt I�1�11��.�� (.1 i 1'��= H C:l 7��V�. ( Rqne '� `, i `( �I �f U <br /> N.,��n¢ nderese i 4 zn ,uv '�` s-. y ��7 <br /> 4ablle Hame Ormer Li2�i4rciZ5i.ti.J N �•�`-ffti.S Rane / 7�.. -l� l C� � <br /> Hdllnp Nddrese�U 1-��v r ��1 �% �-.�lir_���:!.) `n <br /> F1ome Mmufactuter � _ <br /> , inetalledcontnctor �,r�rz1����"�'.SGJ i;l�'-�f�,S Rione <br /> Addreae ReplstratlonNo. � (�nC I�S�'�_ z_t�'S IZ`� <br />� Other bulldinpe m the lot: tiJC N�� _, <br /> IAiE1 l� All eddltlonel etructuree tequire eeparete bulldlnp permlte, (Stonpe buildlnp, decke, cetporte, ete�) <br /> I 2. Prlor to occU�ency, the Buildlrq Department ehell lnspect for cadormence to the elte plen approved 6y the <br /> Pleming Droettment. <br />� 3. All mabllP hmee ehe11 br set � in carpllence with the Xaehington Stete Moblle Home Instellatlon Lers (tl�C <br />� 296.IS�.Y00 to Y55) which aro evelleble et the 9ulldlry Depertment. <br />� <br /> PPliK OMfR'S Cf11T1FIG1fI0Ni <br />� I MiREE AW CEATIFY TIU1� 1HI5 H�BILE H01E MILL BF SITUq1E0 IN II MAM�EIt iHAT XILL IEET IIIE SPECiFIC REplI1RF1��ENiS OF TIC <br /> SPECIAL USE PERNIT ISSUED FOR 1HI5 PM�C MD ilf Ni1.ICABIE f7i0VI5I0N5 OF Tlf CI1Y'S MOBILE HOME PMK LODE, <br /> IF TFf INSi11LLQi'S CERi1F2C111I0N 115 SET FOIiTH IN iNIS f'EfWIT IS NOi SIGNED B1 TrE INSTN.LEIt� ifEN, BY StP7ING 1HI5 <br /> PERHIT� TIE S1GfUli[r1 A` 71r PNllf OMIE71'S CffiTll"Itl11fON I�LSO AtliF.ES !�W CIIIIIFIE! TO TFE FOI.LOIIINCt (1) 71UIT 11C 11CP11.E <br />� VdIE MILL BE INSIN.LED 1N Aln."JiDIINLf MITH iiE IIEQUIREF£N15 OF i!E SF'ECIIIL PROPElI:V USE ('ERHIT ISSlkll FU1 iHIS 14VIN IIW <br /> TIE MRICMLE RE411It1E?IENfS ff TIE N0.5HINCTON STATE NOBIIE fUFE INSTIILLFTIGV LIIMS 111a 1K CITY'S MOBILE IIOME FMH (ODE� <br /> MU (2) tt1AT 11E H[AILE f101£ NILL BE INSTPLLED IN A MR11Q1MLIKE MIW�4.A. NOTHIN(i IfAEIN IS INiE�UED TO CIIMJGE ifE LEGN. <br /> RELATIOf6HIP BETMEEN il 'SIOBILE IAA£ OMPEA� MOBILE Ip4E PMN OMIAi NU TF£ I151ALI.f71. <br /> i <br /> � � <br />� 5lcrto � �1,-:��,�u<� � �� ���.��� nnie!� ��=�- �6 1--- <br /> � et �i+ner� eneper <br />` <br /> ItGiIILLER'S CEAtIFiCl1IlON; <br /> I AffiEE IIID CIIITIPY i101T TIIIS IIQiILE IIRF III:L BE INSiN.LED IN RCOAiD11NCE MITH TFiE pEp11REF£NTS OF TIE SPECiI�L Ft1rA4'f1iY USE <br /> PEi1HIT fSSILU FQ! lllf5 PMN fJU 11E MRI('llfllE REQ11fIF.HENiS OF ilE MlISHINGT[MJ STIITE MOBIIF N[1ME IIISTIILL�IiCk! L�MS ��U TIE <br />' CITY'S HOOILE Hl)If: PNiN CLUE. I fUiThEA 11GNEE MD CERfIFY 1H11T THIS MOOILE HME IIYLL BE IIbTIILLED IN p NUiKF111hL1KE H�IlIER, <br />� SIGNFD �LJ (A � �2_Ll/.f�S�G�Li� ORTE C��(p O � _ <br /> nsE`el�e�'�—T' <br /> � <br /> � <br />� ." " " " ' - " " - " " ' _ " OFFICE USE 0�1Y BEL011 Tr1I5 LINE�j � �� ' W " " " " " " " <br /> / / �� � .. . � � <br /> Setbecket Front �_ Slde S Slde `� Reat �� _ <br /> ,o <br /> N M M <br />' Speclel cordltlme or lnstcuctlons: � � � � <br /> �i 8 � � <br /> laproved for petmlt Sssuance: _ ���� _— <br /> e n'p eper men ate' <br /> 6/4B/B7 <br /> ]78BIi � <br /> •: <br />