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4+� <br /> "'MOBILE hOME PERMIT <br /> CITY OF �t1ERETT Bi�ILDING DEPARTMENT <br /> �3200 CeBar Street <br /> �verett, WA 98201 <br /> Electrlul Pe�mlt No. � g g g g � � g�mit Na, TI!� <br /> a� i�o � o � o o � <br /> Se.et Permlt No. _ o a h a w $ � N�OF� 23 �� . <br /> /��7 .. t�• in $ r•.� � � ��-- <br /> M�ter Permlt No, p5 ( �'�'�� m � � � .. � � � <br /> Plunbinq Pe[mlt No. _ � � � � d � � � � � � � � � Fee c�-- . <br /> Noblle Hane Perk Name Fp,��nlQ,y ��[',q�( �"'o�y„Q,r„ N�. 1''i,�,,�L �Spece No. �3C� <br /> Hoblle Hame Perk Ilddress I�F2� I00 �` �. $•L,J . U.(Ae�w . <br /> 5{,ecl�l Property Uee Pe�mlt Ikmber_ I�3 . <br /> PatkOwrer _ _ (`��y., L� {���,yi (�. Phone 3S3 -4a�w <br /> Helling Addreee _ /µ27 ��D �` .S� S.tw�. L�f/,E,/L4.I/ . I'�8�2 . <br /> Noblle Hame Ormer J'OA/.7 Y • H 1 l.l.H E2 Phone <br /> Nelllnp ndereae �427 Iv0 �` S'r S �..9 S�sts.t �3 0 <br /> Vlane Henutecturor <br /> 9c�E. Ho+s���. :wr,t� s.Fftv�ce� <br /> Inet�ller/Contractor �RH/�1..�4FF'r�—. HOMIf�9 Rione '347 — 4-I 4�5—, <br /> Fddreee � 4��f 2'1 (-�w�c� Ly NNwuvzQ Replatretlon No, F}CP� HO F} S 2 O N <br /> Other bulldlnqe m the lott tilg�.1 I�, <br /> NOiEt 1, All eddltlaiel attucturee reQulre eeperete bulldlnp permlte, (Storepe building, decke, ceryorta, etc�) <br /> 2. Prlor to cecupency� the Bulldinp Depertment ehell inspect for eonPormence to the slte plan epproved by the <br /> Pleming Oepertment. . <br /> 7. NI mablle hamea ehall be aet ip !n cmpllexe wlth the Maehington Stete Mo611e Ilome Inetalletlon Lewe (NAC <br /> 496.ISW.200 to 455) nhlch ere avelleble et the Bulldlnp Department. <br /> PIY1K OMIER'S CERi1FIG1IlON: <br /> I IIGf.LE Mb CEIiTIFY 1114f TIIIS MmILE FIQ1E MILL BE SITU4TED IN fl MIIMlER TINT W1LL lIEET �IE SPECIFIC PEWIRE}CNfS OF ifE <br /> SPECfIIL USE PEAHIT ISSlEO FOfI iHIS PMH AM TF£ MPLICIIBIE Ffi0V15I0N5 OF TIE CITY'S 1 1BIlE VIOME PMK COOE, <br /> IF TIE IMSTIILLEf1'S CEItTIFICl1TI0N AS SEi FQiTN IN TfiIS F'E7WIT IS NOT SIGN�O BY illE INSTIIt.LE7l� 71EN, BY SICNtNG i1115 <br /> FFIIHIT� TIE SIGNI11011 O' 71E PMK 7YIIrF71�5 C4ITIFICATION IILSO ll(7iEE5 MD CfliiIF1E5 70 TIE FOI.LONINGt (1) TINT 71E NOBILE <br /> VONE NILL BE INSTN.LED IN MI;Qt�IINCE MITH TIE REpUINEMENiS OF TFE SfECIAL Fl10P'ATY USE PE/iMIT TSSI�.0 F01 THIS PMK AW <br /> TIE MRIG�BLE REqqf1EFIENfS OF 11E MASIIiNGfON 5TI1TE HOOILE 110l� IISTILLL0.TION LIIXS Mf] 4E CITY'S HOBILE 1101£ PMH OOOE� <br /> MA (Y) 71U1f ilE MOBILE IIOME NILL BE INSTAI.LEO IN A KHMLIHE lUUMER, NOTHING IEIiEIN IS 1MEWEU TO CVW�CE TIE LECPL <br /> RELATIONSIIIP B NE !f IE NC6(LE Ip1�E ON1FA� HpB1LE 1 PMN Oh'NER MU iFE INSTIILLEA. <br /> u�r�o <br /> ..� . � onrr Z�dy,,:.� S"L <br /> er� .ner anaqer7 <br /> 11STN.LER'S CERT1FIGtTlp1; <br /> I A(J1EE 01A RTiTIFY ilIAI IHIS HOBILC fiQE kILL OE 1NST�LLED IN ACCOf1DONCE IYITII TIIE REOUI�E1fNT5 OF tIE SPECII�I Ff10PE11fY USE <br /> iEIIHtT ISSI,�TD FUI TIiIS PMK NA TIE Mft.1fJI8LE REQIIREMENIS OF TIE XIISNINGiON STATE H09IlE f10F1E IIlST�LL4Ti0N L�'"5 RIU TI£ <br /> CIfY'S ILE IIU1E PMN f,OUE. I FIIITIEII p(71EE /PA CEqT1FY TIIAT 1fII5 FroDILE IIOME INLL BE 1�8f�LLED IN A MQiKf1�N.IHE HIIMEII. � <br /> � <br /> s►cNm 7 � oaTe Z3 �u;.� Sr9 <br /> / �5 a ��� <br /> - - f - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> , � D'FICE USE OI1Y BELOW iHIS LINE <br /> � <br /> Setbatkse Front Sloe Slde Rear <br /> Speelal twdltlons or ln�tructlonet ' <br /> Ipproved lor permlt Issuance: <br /> em rq eb pe[finen UeCe <br /> 6/7B/B) <br /> �vpni� <br />