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MOBILE HOME PERMIT <br /> CITY OF EVERETT AUILDING DEPARTMENT <br /> )200 Cedar Street <br /> Everett, WA 90201 ) �(�7a <br /> Elrctrlcel Pennit No. 7�f 5 Z- _ Flrmlt No. � <br /> s..nr rormR �io. p�(p.�{:�-..5�__.__ oate 3, Nw Yrf ..-- <br /> Meter Pe�mlt fb. ..�� 4 I _ � <br /> I P]unblrg Pettnit No. I �� ZrJ �ee <br /> Hoblle Hane Perk Name rAl2WAy �sryr�.S • _ sPa�� No. ��_ <br />� Noblle liome Perk llddress I 42�"I I W� � S •w • <br /> Speclel Prqmrty Uee Pennit Mmber IS- $3 _ <br /> ^•rk o.r,er fyq(�L.ti, L�HF pmlD/NC.4 . Pno� 337^ 24-24� <br /> Helllrq Addtess Y1[.✓2. �4�'L'1 (t�0 h ST s •w . <br />. Hoblle None Orner PonuTs�2 � � 1iv��v�, pno�� 3St- luob ✓ _ <br />� Hslllry 1lddrese _ <br /> Home Hanufeetute[� � t .t /1,. '. �. /� �.yi✓L�l�//� , � � � <br /> �l�u � J��' '� � ' � rr,� , �5 3 _ S �f l/�-h,-,,��;,, <br /> 1nst�1leNContreetor i i � � Vi�J[-il -� ! � !` ,�C : _ <br /> ` ` 7 R lstretlan No. � <br /> Addreee / Z I'!r� !/i,ff�e � J� j� �'! F, ' -i'� / � ���' �9 �1rv7/?/i": - � � �1� �1i.�_ <br /> 1 <br /> l <br /> Othe� bulldlnpe m the lott NONIE, _ <br /> NOTEt 1. A11 eddltlonal etructuree require eeparete bulldlnp petmite� (Storeqe building, decke, ce�porte, etc�) <br /> 2. Prlor to cec�nncy, the Bulldinp Department ahall lnspect for conformence ta tlx elte plen epproved by ttx <br /> Plemlrq uepettment. ' <br /> 3. IUI moblle hariee shell be ut tp Sn cmpllence wlth the Meshlrr,�ton Stete Mobllr, Home Installetlnn Lewe (MIIC <br /> 296.15Ui.200 to 2S5) �hlch ere evelleble ef the Bulldlnp �epertment. <br /> FIY1N OXIER'S Cf7i11FIC11IlONt <br /> I 11G�10E G�O CERfIFY 11N1 iH15 NU3ILE 1�'?ffi NILL BE SITUIlTEO IN !1 MlINJFJi THAT XILL IEET TfIE 5�'ECIFIC REOJIHEFENIS OF Tf1E <br /> SPEClAL USE fERMII ISSIiD FOR 1HI5 PMK MO lff MPLIGIBLE H70VISIONS OF iVE CITY'S HOBIIf, fiUlE PMK CDOE. <br /> IF TIE 1NSifIILEfi'S (�IiTl'ICAiION AS SEi FORiH IN THIS F'EJWIT IS NOi SIGNED BY ifE i 5TI1LLQ1� TFfN� BY SICNING iH15 <br /> 1411HIT� 11E SIfdJ11T[i1 Cf TIE PNtl( OMPE}t'S GER11F1CIITION ALSO Af7tEE5 IUD LEi11IFiE5 70 nE va�oMtr+c: (i) i1NT TFE HOBILE <br />� ![tNE MILL BE INSTN.LED IN 11CCOROflNCE MITH 1)E PEqU1PETENTS OF iFE SI'EC111L RIQ'EA1V USF PElil!IT ISSI[D F[Y1 iHIS PMN AIO <br /> ilE MT4.IG�E3LE REOUIRF}1ENI5 � TfE MASFIINGTON STAiE IA�ILE FIOIE INSflIL1.ATI0N L11X5 MD iFf CITY'S HOBILE fIOME PIV1K CDOEt <br /> IY� (?) 71UT 11E MODILF fU�E MILL BE INSTALLED IN A MORWIIULIKE HRNEA. NOIHING If3�E1N IS INTFlUEO i0 dWJGE TIE LEGIIL <br /> RELAT10rbN1P MEEN 11E HOBILE fL71�£ OMKIi� NOBILE IOAE PIYtI( OMNER N�O Trf INSTPLLEA. <br /> SICIED DI1TE ���� a / . <br /> er rner ene <br />� IIbTIILLER'S CERTIFICIITtQ�f <br /> I OTCE �1I1 Cf?1fIFY T��4f TIIIS HOOILE llUf. MILL BE INSTALLEU IN IICf,ORD�NCE NI1H TIIC ftEqUI1tEFLNfS Or T�[ SPEf,tAL ITtOfERTY USE <br /> IEIIHIT (SSUO Fl�II iHIS PMN Ma TIE MfLICfl&.E REq11RF.FENiS OF hE MIISHINGTON S1�TE HOBIIE IIOME Ir�;TM.LlIfION LIINS 111b TiE <br /> CIIY'S NOOILE IIU�E PMI( 0.OE. I FV1fIfR IIf77EE NJD CERTJFY 1H11T THIS HO�ILE Ii0A1E 1MLl BE IfSTIILLEO IN !1 XC1iK11fIfLIKE HMIlf.11. <br /> � / <br /> SIGNED� �. 1 /,' �� ,�_ i ! DIITE : ) �l <br /> � ns e ler <br /> ' - - - - - - -'-/ - - - - - - - - - - - - � ` - - - ' - - - ` - - - - - - - - - - - - - - - - - - - - � - - - - - - - - - <br />� ,. OFFILF. VSE OILY BCLOM IfUS I.INE <br /> Setbetke: Front �� �lde ,s � Slde S �+P'+� ^. __ <br /> Speclel cordltlme or lnstructlonst _ <br /> � ( � / <br /> Mptoved for permlt lssunnce: ���u ��1[f_ --�� � b ' <br /> Fjehiing elie[ men finEe------ <br /> 6/7P/A7 <br /> 19BBI1 <br />