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MOBILE fIOME PERMIT <br /> CITY OF EVERETT BUILDING DEPARTMF.NT ' <br /> 3�00 Cedar 5'_reet <br /> Everett, WA 982�1 <br /> Electrlcel Permlt fb. rFr��_ I�ermlt No. � �(� 7 � <br /> Sei+er Permlt No. �� �� Date � a - a - 8� <br /> �.<« P���� ��, 567 7 <br /> Plimbing F'etmlt No. �� ��S Fee _ <br />� ' �{ [� ��'"��� / <br /> Fbblle Vlore Park Neme $eKh ,�a,� GG.�T�1- Spece Ilo. _L� <br /> �Noblle Nane Park Arldress 14��L) 1b0�- $T $.k.l � <br /> i <br />� Spectel Prcperty Use Permlt Nunber �5�83 • <br /> P...ROrrcr � �,.s�./' µ�" Pho^e S3�-ZV'Z�{- <br /> Halling nddreee fwZ� r6p� S"r 9 •W • <br /> Ho611e Hune Uwner �H41� . Pnor�e 337—Z4-Z�`� . <br /> . Halltnq llddreee . <br /> Vlame Nenufxturct M���� <br /> Inet�lledContrector yy�y����(t/�J�., , �� _ <br /> —7 /1� <br /> Addrese � Z� � . � ►�+tiw�e�o-D" � Regletretlon No. �'20 � _ <br /> otner wtiai�e a, cn� ioc: NaIJ� <br /> NOIEt 1, A11 eddltlonel etructuree require eeperete bullding pernilte. fStorepe bullding, decke, ce�porte, etc,) <br /> 2. Prlor to occ�ency, the Bulldlnp Department nhell inspect for cmformence to the slte plen epproved by the <br /> Pleming bcpertment. • <br /> 3. llll mablle hm�ee ehell be xt �p in cmpllance Nlth� the MB9111nqLd1 Stete Moblle Home Installetlm LeMs (N�C <br /> 496.15C6.400 to PSS) rhlch �re welleble at Lhe Bulldlrp Uepsrtment. <br /> PIYIN OM�ER'S LE11iiFIClITION: <br /> I 11q1EE 1U0 CEIITIFY IINf iHIS H�ILE HU1E MILL BE SITUlITED IN ll MIIMlEI1 TINT WILL 1£E7 111F SI'ECI�IC NEWIREF[Nf5 OF TIE <br /> SF'ECIM. USE PFAHIT ISSILD Fql iHIS PMN MD iVf APPLICABLE Ri0VI5I0N5 OF TIF CITY'S HOBILE IIOM� PN1H COOE. <br /> IF TIE IM;i.1LLER'S CFAtIFICATION AS SET FQiTH IN iHIS PE7UILi IS NOT SIGNED BY illE INSTIIi.FR� TffN� BY SIGNING 111I5 <br /> ►VINIi� 11E SICN�IRI CF 11E PIYIN OMhF.Ii'S CE1IttFICATION N.50 AQiEES !IW C£JiTIFIES t0 TFE Fd1JMINGt (1) tINT T1f MfAILE <br /> li0F1E MILL BE INSTN.LED IA ACCORUIINLE NITH 11E REp1IRFaENTS OF ifE SI'ECIlU. R1fX'ERlV USE �?iMIT ISSII:D FQI THIS PMN IUD <br /> ilE MRICPBLE REOUIRET1ENi5 � ilf Ml�SHINCION STIIIE MODILE IIR�E INSTALLATION LANS MD 71E CITY'S MOOILE IpF£ PMK fAOEi <br /> N-0 (2) ttU1T 11E Mf)11LE IbHE MILL BE ?NSiPLlEO 1N p XQIKNIIN.IKE WW�FI. NOtHI'N[i IEREIN IS INfEIaED TO CIWlGE riE LEGIIL <br /> RELAT101SHIP 1 EN ikE H�BILE f1���V1 ILE fOE P/Yilf OMER MD Tlf 1NSLYLEII. <br /> SIGIED � OIIiE � �/�lG� 6 � <br /> erk"U'vner enapet <br /> IISiIILLER'S CEIITIFIGI110Ni <br /> 1 �TEE ��O CF.AtIFY THIIT tH15 N�ILE IIU£ MILL BE IrSiALI.ED IN ACCOt�l1NCE XITH TIIE RENiREIF.NTS OF TIE SPEf,il�l ff10PEH1Y USE <br /> IEi1NIT t55UE0 FOI i1115 PMI( MA Tlf MPLIClIBLE REq1IREMENiS OF hE NIISHINGTON STlITE HOOtLE IIOME I��STM.LIIT1dJ L�NS �fU i!E <br /> C1tY'S NUDILE fIOHE PMN COUE. I FUIiIER RGREE MA CENTIFY THA1 iHIS MOBILE fIOME ItILL BE Irbf11LLE0 IN 11 NQtKfNItIKE HAMER. <br /> L,fj.✓1P L /a�l�T'�-'`'^ c/ <br /> SIGNEO .. .�! e i P.TE �tC� a�_ <br /> nsEaZlet <br /> - - - - - - - - - - - - - - - - - - - - - - - - ' - ' - . - ' - . - " ' - - - ' - - - - - - - - - - - - - - - - - - - - - - <br /> OFFICE USE ON.Y 00.0tl iH15 LINE <br /> Setbncks: Fmnt '<� Slde Sltle Reat _ <br /> Speclel caxlltlms or Insttuctlonsi _ <br /> lpp�oved fo� permlt lssunncef �� ' � �1.- �_� -`�—-- _�y'.�.� 7 -- <br /> �7 ePer men [�}`e----- <br /> 6/7P/R7 <br /> Ig9C1i <br />