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MOAILE NOME PERMIT <br /> CITY OF EVERETT BUILDING DcPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br /> Electrlcel Pet+nit No� iv,Q � Perm![ No, � � �).j Z <br /> Sewer Permtt No. ��p 3 � �� Uete 2 y A(/G �7 . _ <br /> XatlC Pltm1C No. r7 �i � <br /> Plunbing Petmlt No. � d / �S Fee ��� <br /> aob�ie F��e Park Neme rA iRwqv FSTqTEr Ho8�1.a6 hbi'+E P R9 K • sPac� �+o. ��6 <br /> Hoblle tlome Perk AAdress ��/' �OO� Sr S W F����• - � <br /> spectal vrtverty use Pcrnilt Mmber /5-83 <br /> Perk oMner HA/��.E GEAti Noe.D/NG S Prwne 3 3?-2�rZy� <br /> r+atling nderae /�!'27 /00�` Sr• S.W• �✓F/Q�Tr• <br /> Noblle None Orner �t.AU�I/1N MDE Pr'°"e <br /> Hetling lbdteee <br /> Hame Manufectuter�f�(,C _J�0�1�S <br /> InetalleHContrector �AC��� �WMKt R10"e ��- 9�Q� <br /> Addresn ���y 91 �y � ��t����W� ReplstretionNo. <br /> otner wttalrqe a, tne lote N�N� <br /> NOIEt 1, All eddltlonel ettucturea requlre eeperete buildirq permlte� (Storege buildlrp, decke, ce�porte, etc�) <br /> 2. Prlor to accupancy, the Bulldlrq Uepertment shell lnspect for confo[mance to the slte plan epproved by the <br /> Pleming Oepettment. <br /> ). 1111 moblle Iwnes shall be set � !n cdrplience wlth tF�± Mashing[on Stete Moblle Home InstalleUon Lews (MI1C <br /> :o6,ISOB.700 ta 255) vhich aro eveileble et the 9ulldlrg Depertment. <br /> PIY1K OMER'S CEItTIF1CATI0Nt . <br /> I I�GREE @O LFI111FY TINf 711I5 N�ILE HQIE NILL BE SITUIITED IN II HIIMlET1 ifNi MILL !£ET THE SPECtFIC REWIREF[NTS OF if[ <br /> SPECIIIL USE PEIIMIT ISSIED FOFi iN15 PIYIN MD TFf. Ni'LIGIBLE PROVIS10N5 OF TIE CITY'S MOBILE FIOME PMK COOE. <br /> IF TIE INS1All.ER'S C�ITIFICIITION AS SEi FORTN IN iNIS PFIWIi IS NOT SIG�D BY TFIE INSTOLLE3i� TIEN� BY SIGNINf7 THIS <br /> 1EIIHII� TE SIGNI1IQi OF i!E PMK OMIf7t'S CfRTIFIClITION /iL50 IIfAEES NO CERi1FIE5 70 TIE FOILOXINGt (1) iINT iFE FIOBILE <br /> 1�IE IViLIC1�ALE REqUI ET1ENiS�D��ING�OH STIQITE NOBIIE H0�£'Itt T{IILI.AiION L�11M9 M� iFE�CIiY'SSHOGILEpf10MEIP1YIK CODE; <br /> MA (1) ttUl� 11E MI31lE f MILL BE INSTIILLED IN A MORIOIMLIKE MM��EA. NOTHINO IQiE1N IS 1NfEWED TO pIMIGE iFE LEGN. <br /> RCLAl1pbH1P 6EiMEEN ILE IQE OM�fA� 1LE IIOI�ff. PMIS PN7 TFE IHSTALLER. <br /> SICAEo � onre 2p �vJ �7 <br /> r r er•qer <br /> INSTALLER'S CFf1TIFICl1T10N1 <br /> I Afi�EE ��D CflITIFY TIUIT THIS HRfILE IIUE MILI BE INSTALLEO IN IICLOf1DMlLE MITH i1lE IIE4VIREIENiS OF IIE SiSCiIV. if10F'ENTY USE <br /> ilT�NII iSSUED �011 TII[S PNIK lUA TVE N'PI.ICJIBIE RE4UIREI�ENTS OF TfE MlIS!1INGi0N STIITE HOBILE F10ME IN5T11lL�itON L�MS PID ilE <br /> CIIY'S HOOII.���U--�• I FUiTltli RCIiEE MA CERTIFY TINi iH15 FIWILE IIOME Ih'LL BE I�bTALLED IN ll YIQIWUIN.INE HANER. <br /> C �J <br /> SI[7lED ` 0l1TE ���I�U/ <br /> — ns el er <br /> r F OFFICE USE OILY �EIOM iH15 • . <br /> - " " " - - - - " - - ' - " LINE <br /> Setbackea Froct iIK Slde �'� � _ . Slde UK Rear Jk <br /> Speclel condltlone or lnettuctimss <br /> � �i�ir� <br /> lpProved for P"rmit lesuarxe: / � Jpm�epeiTmnr� �---jiwEe��� <br /> 6/7P/97 <br /> 19BP11 <br />