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MOBILE HOME PERMIT <br /> CITY OF EVERETT BUILDING DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br /> Elettrlcel Pennit No. S I a� itirmlt No. �I�J <br /> Sr.et F'ecmlt No. Dete ,����1��_ <br /> Mater Pe�mlt �b. <br /> Plunblrq Petmlt No. Fee _ r�_ <br /> Noblle Hon� Park Name _ �H�F2Wf��/ rzSTIqTR�S f-tC(St� HOM� �(-�►�{l Spece Ilo. /� <br /> Hoblle Hune Patk Address 142� ;bon" ST. g.�,,�- �'✓i�Qr7-r <br /> Speclel Prcperty Use F��mlt Nunber �s -8 j <br /> Petk Omx� _t'11aP1..�'E �.CI`�K I�OL� �NLC R�� _337- z4-2�. <br /> Nai�t� neeK»_142'? ivoTM sr. s•w �vrFi2ETf� <br /> Hoblle Hane Orner (.v�t-r��'�.� 77c£S s�i� Frw�e 77(,- �SS 2. <br /> Flsfllry llddreee <br /> fbne Hanufectuter_ <br /> lneteller/Contrectot _(„�Rr.G�125UAJ I�oW!ef_S . phone�7� - OI 6 � . <br /> Addrene ��30 ��W�I qq N � rc.DMO�J7S� F.epistretlonNo. �2�G�5I{ Z6S}z9 <br /> Othet buildinge m the lott A.10ti1 l� . <br /> . NO1Et 1� All eddltionel ettucturee tequln eepetete bulldirq petmlG� (Stonpe bullding, decke, ce�ports, etcJ <br /> � 2. Pr1or to occiqa�cy, the Bulldlnp Department ahell lnspect /or confo�merce to the elte plan epproved 6y t1,e <br /> • Pleminp Ocpertment. , <br /> 3. 1111 moblle hamee ehali be set ip ln cnnp.11ence with the Ileshington Stete Mo611e Home Ins[alletlon Lere (MIIC <br /> ?9d.1S�.2o0 to 7S5) dilch are eveilable et the Bulldlnp Depertmant. <br /> PMK OMER'S CEAl1F1ClITIONi <br /> I IIGf1EF GfD CEIIfIFY 11N� iH15 11�ILE ViUIE NILL BE SITUATF.� 1N A MIIM,IER TNIIT XILL lIEET lllE SPEC1fIC HFWIRE�EN15 OF TIE <br /> SFtiCIN. USE PEHHlT 1551[' F011 iHIS PMK IUD iff IV'PLIGI6LE PROVISIONS OF TIE CITY'S NOBILE F[1FIE PMK WOE. <br /> IF ilE INSTALLEII'S CEF��IFIGITION AS SEi FQITH IN THIS PE77MI? IS NOT SIGNED BY 1FE INSTALLFII ifEN� BY SIGNING 1HI5 <br /> {�]iIIIT� ilE SI(71ltOR Q IIE PMK OMrF11'S LERiIFIG1TI0N ALSO p(71EE5 ND Cfl1TIFIES i0 T!E FOLLONfNC: (1) TINT ilE MOBILE <br /> iIOME MILI BE INSTN.IED IN pCCORDIINC£ NITH 11£ qEp1IRa1ENT5 OF TFf SI�CIN. RiOPEJiTY USE 1'E7WIi ISSUED FCfI iHIS PMK MU <br /> 11E Ri11CPBlE RE,l11REMENTS OF ilf N0.511IN„tON STIITE MOOILE FIOF£ INSTALLATION lOXS MA iF£ CITY'S HOBILE IpNE PMK ISIOE� <br /> MA (?) Tllllt 11E F, t1I►E MILL BE INSiPLLED IN A NOf11W�N.IKE MR�NFA. NOrii1�i^u Ik7iEIN IS 1NIEWED TO dUU1GE iFf LEGIIL <br /> RELATIOFSNIP 8 IIE FIqBILE IA?E DMI}A� iLE U�1E PMK OYINEA IUD iFE INSTIILLQI, <br /> SIGIED DIITE lg�.Q�(/" a � <br /> ar aimet enager <br /> 11bflILLER'S CERTIFIC1111QIo <br /> I �R1EE �1D Cfi1iIFY TN�t TII15 MOBILE f101E M1LL DE INSTN.LED IN IICCp1f1�N('E XI1H TI[ 11EP11RE1ENf5 OF TIIE Sf'CCIAL it�01'E11fY USE <br /> IEItHIT iSSIf.D fQi iHIS PMN RA IIE MRICABI.E REp11REMENIS OF TFE MIISHINGiON STIItE HOBILE VIOME INSTN.LMIOfI LAMS ND TFE <br /> CIIY'S FIU3ILE I PIYrit CCUE. I FU1iFfJi RdiEE IIND CERiIFY THl1T THIS NOOILE iIUAE IMI.L BE IIbf�LLEO �N II NQiKIN111KE HMI[R, <br /> I �Q V <br /> SIGNED . DRTE ���__ <br /> ns a er <br /> - - - - - ' - ' - - - - - ' - " - ' - - ' - " " - " " ' - - - ' - ' - - ' - " ' - ' - ' - - - - " - " " - ' <br /> OfFICE USE OM.Y BELOYf THIS LINE <br /> � p 'sfr�itR�^' j , <br /> Setbeckst Front /�� Side Slde Rear <br /> �y-F- � �c.TU�s <br /> .�� <br /> Speclel cadltlone or lnstructlonst <br /> Ihproved for permlt Is�un�ce: �� ���F_ -- -�_ - <br /> �Bflfl PP[ �!�1 Ip[p <br /> F/7P/97 <br /> 19PP11 <br />