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MOBILE HOMFi FERMIT <br /> CITY OF EVERGTT ❑UIL�DING DEPARTh!GNT <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br /> Electrlcal Petm(t No� �j 6 a (�rmlt Na. _11O 4 0 <br /> Serer Permlt Na, _ z-�Z7 � Date _fr �6— � � <br /> Nater Pe�mlt 1b. 7.5 �-.� � <br /> Plu�lrq 1'rtmlt No. � d 5 P'U Fce ! <br /> Noblle Hrnc Fatk Neme f [1�� l,lJ�`I �I(J�Iv-' Spece I�o. � <br /> lloblle Ibne Perk Ilddress I��� ' � � �dT• �W C_I/����� �/�'I� 9�do�-/ <br /> Spe[lel PrrOerty Use Petmlt Nunber /J � [� "� <br /> Perk Ownet �1/I` I L�� S Rwne��s�_ <br /> T'- <br /> ��a,���, ��«„ l - CU Y���1 �f�6`�— <br /> =�Ioh� �� �"� �- I ---- W - � s►- z�i <br /> Hoblle Hane Ornet A�one <br /> . Iht11n0 �ddrese � �J`1 I��� �IUJ� dl' �M/� Wt,ll.�� !�S( <br /> Ibne Nanufectu[et <br /> � Ineteller/Conttector 1 R�� � `" � � ��b <br /> �ddress ��S� �W G�c�•�Repiattetlon No. !A �� „�l s i3r K2 <br /> oiner wiid►rq, «, tr� ,ocf �- _ <br /> IAIEI l� A11 eddltlaiel atructuree tequlre erparete bulldlnp permlte� (Storepe building, decke, ceroarte, etc.) <br /> 4. Prlor to occi�ercy, tM Bulldlrq Oepertment ehell lnspect for conformance tu the alte plen approved hy tne <br /> Pleming Ocpertment. ' <br /> !� 1111 moblle hanee ehall be ee! ip ln cmQllenee wlth the Meehington Stete Hoblle Ilome lnstelL:fon Lere (M11C <br /> 496.13[D.P00 to 23S) whlch ere evellable et tlx Bulldlrq Oepertment. <br /> 1'IY1N OMEII'S CFJIi1FIClIilqlt . <br /> I N;IIIEE AIU CERIIFY IIUII 11115 HmIIE IIRffi XIIL BE Sl1UR7E0 IN ll N11M�ER 1H11T Mlll lIEET 711E SPECIFIC PEOUIIIEIENIS Of IHE <br /> 51EC1�1L lfSE iERHLT ISSlrEO FOR iH15 PlRIK MA �IE N'PL1CAFflE �i10VISI0N5 OF IIE CITY'S HOBILE Ip1E PMK LUUE, <br /> IF 11E INSf11LLE�'S CERTIFIGITION 115 SEi FQ1?II iN TI1I5 FEMIIT IS NOT SIGNEU BY 111E INSTIILLE71 TIIEH� BY SldlIIIG 11115 <br /> IVIN[T� ilE Sl(Ml01(fl Q 11E PMN OMIE71'S Cf71iIFIClITION 11L50 11Gf1EE5 MA CEfi�If7E5 10 11E FOLLONIIIG7 U) TIUIL ilE H[AILE <br /> IUIE MILL BE lllSTAI.lEO IN ACCOftD�NLE NlTH TIE f1E0U1REMENIS OF ilE 51'EC111L FTtOPE7i7Y USE 1'EIIHIT ISSIbO FCf1 iH15 PMK AID <br /> 71E �RI.ICMIE REGUIR?2NI5 � 11E MIIS�IINf,iON ST�IE HOOILE IIOF£ INSTl1LLNION L�XS MA 71E CI1Y'S HOOILE IIUIE FMK CL10E{ <br /> Np (2) TIUIT 11E IltiflLE II[11F. N1LL BE INSTN.LED IN !1 NCitKMA111NE H�UME11. N011�tNG lOiEIN IS INfE�DEO 10 C1W�[:E 11E LEGIIL <br /> REIATItkbll[A tlEl 7TIE IA9ILE Ibl£ OMNER� MOOILE 1' PIYU( OMrh71 MD 11E 1N5TI1LLEI1. <br /> 5[C�EO ____��a��n� k s'�u�� 4 D11TE p <br /> at Uvi�et eneqetj <br /> 11611�LLEt1'S CEIIt1FIC11IlU7: <br /> I ATCE ��b CETifI�Y tllllT 11115 NCTIILE IK7E MIIL BE 1�6i11LLEU IN IICCp1DlINCE tlI1H TIR IIEnUI�EIG1f5 Of ❑IE Sf'Ef,�N. rt1�fERIY USE <br /> fE�Hlt t55U.D ►(II iRIS P.'YIR NA 11[ M�tICliOIE REp11ftEHENTS OF 1fE MIISHINGTON SI4TE HOP[LE IK1�1E INSfM.LI1t1011 LIIXS PID 11E <br /> LI1Y'S 11U71LE IRIE CUJE, I � 1TI[ll ll(7iEE MA CERTIF 111AT tIlIS HOOILE IIQ4E IMLL BE IISIIILLEO IN A MfItKINfI.INE NOM1Ef1. <br /> � /' � <br /> � DIIfE � :�C '- Yj <br /> SIClIEO ____��_TlnsCal e[ ` � (�: ar. cn ae i �c � ac -n��i; <br /> ]'.� l] fti Cl �`' C:) J q � �J \ <br /> t i �-� �;i r � Fli t:i -�� c;� F �i c� <br /> " " " " " " " " " ' � ' . �capi�.�iY �it�rS�� yrG9 �i"t� " " " " " " " ' " " " " " <br /> :: 6r�ic�'G�e ax,"rEddaN ,b#s.�.�l+e <br /> VI fJ Ul ) [p -.] <br /> �� �, �. �6' <br /> i� c.. �>> � k� � <br /> r- <br /> Setbacksf Front ll ��� Slpk '�" `� � �^ "^ Slde•• �� �eer <br /> .r? .- .-• r�-- <br /> C� U C� C9 U C] c� <br /> -n <br /> Speclel cadl!lone ot Instructlonet _ � ��'' �' �' ��'' � '{� <br /> LJ <br /> C:l <br /> Z� <br /> ]I <br /> � <br /> �.. <br /> n. <br /> Ipproved for prrmlt IssuaiKe: ,f37rL _ /���7 — <br /> —FIPfYI M I mc�i __- - __� � I)xCe <br /> F/7P/A7 <br /> 19Bn1 <br />