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MOBILE NOME PERMIT <br /> CITY OF EVERETT BUILDING DEPARTMENT <br /> 3200 Cedar Street <br /> £verett, WA 98201 , <br /> Electrlul Per+nit No, ,��7- �(` I <br /> ' Permlt No. _ / �; 2 � <br /> �L�—� <br /> se�er Pernitt Ho. ,� ln7 4'�l ,/�n <br /> . Date___�__L' - U � I�i ��' <br /> �,cer r��tc r�,. .r7 q� 5 <br /> Pluwlnp rern�tt Na. � /ir„� <br /> Fee_ `�_� CL <br /> Fbbl le Hrnie Perk Name F2•�,r..��.,. ` q�C . <br /> �� �� ' � __Soate No. _r`� � <br /> �T F - <br /> Nablle Ildne P�rk Addreee _ (T7.� �(� � �-. Q -�.t� �^t/ <br /> d �� <br /> Specl�l Prcperty Uee Pb�mlt �kmper �5'�� <br /> Perk Omer ._1�� 1,.� ii��Q C Plmx_ �J I - Z 1'"ZT <br /> 1 � <br /> H�lllrq AdOrees � � (()-� T� � � �� ��1 <br /> HaAlle Harc orrer c,, 771-$LOo <br /> _, - hrl �P�.ne�a R,one �7� - OI o I . <br /> H�111np ndrfreu � 1 S I 1�-ZrJ 16p ��` � S W ��, . <br /> ►lame N.nur�cturor <br /> In�teller/Contnc�or _ ���.e�� a v;�� ���,,,,,�� , <br /> _ r�,a,e 77(o— O I C� 1 <br /> addrcse 23 0 I <br /> ' -wt�hrcA Repletretlon Na. �,.,n t�.���r 29 <br /> Other bulldlrqe an the lott __ � . Qr — <br /> N]IEi 1, All �ddltlonel elrusture� tequln �ep�t�le bulldlrq permlt�, (Stonpe bulldlrq, deck�, ce�porh, etc,) <br /> Y. Ptlor to ocuperc�� the Bulldlrp Oep�rtment �hell 1n�ect for canfotmence to the afte plen epproved by the <br /> Pl�mlrq Dep�ttment. <br /> 7. All �nab!!e hanee fh�ll be aet �p In compll�nce wlth the Msehlnpton Stete Noblle Hane Inet�llatlon l�w� (NnC <br /> 796•1l�.I00 ta PSS) M1ch m �v�ll�ble �t the Bulldlrp Dep�rtment. <br /> PIY1K OMIEq�S LERTIFICATIONt <br /> I ACREE MO CENTIFY TIUIT THIS H�ILE FKfE NILL BE SITUAiEO IN p WIM}7� TFIAT MIIL 1£ET iVE SPECIFIC qEWIRE}IENfS OF TIE <br /> SFECIAI. USE pERMti ISSLEO FOR THIS PqLK Mp TIE APpI.ICABLE pppylSIp.6 ff � CITY'S MOBILE HaIE pN1iK COOE, <br /> IF TIE INSIIILLE1i�5 Lf]iTIFSCqT10N pS SET FQiTN IN iHIS pE}p1I? IS N01 SIC�ED BY Tff INSiALLEp iFEN� BY SICNIMS THIS <br /> i'QIHIT� ilE SIfx111I011 p�' i�! p�ytl( pMFp�S (�pT1FlGITfON IIL50 A��S qb �pTIFlES TO ilE Fq.LOMINCt (1) ilY1T i{f NpgILE <br /> fAIE M1LL BE INSTN.LED IN ACCpipplx[ NITM i{E REp1IRE?ENTS OF TFE 9{CIAI. FqOpfptY USE ppWiT ISSLED Fpi THtS PMK IUD <br /> 11E NRICf�BIE REQIIRE?EN�S ff i1E MpSHIN[iTON STATE I�ILE Fp1E 1NSTALLqTIQN LANS N�D TFE CITY'S HOBILE fqFE PMK CODE� <br /> MU (?I 11NT iFE HOBILE FO£ �ILL BE INSTALLED IN A Mdi1WAN.IKE MIWfl1, Np1HpNp FFAEIN IS INTEIDED TO (7VWGE TFE LECA�, <br /> RELAiI0NSF11P BEIMEEN T!E HOBILE Fp1E pNPfp� Mpgl� �pE pp� �� � � INSiNJ.FA, <br /> SIGftO _ G{�'te-vd��� l'1/C <br /> st rrxr anepet . OAtE_�� <br /> I161ALLER'S CflITlFIGIiIONf <br /> t /ITEE MA Cf.11TIF� iflllT TIIfS lIWILE Fp£ NILL BE IISTliILED IN ACOpiDNtf NITH TIE REp11qE1ENi5 OF TIC Sf'ECIAL ►fIp{qiY USE <br /> IEIIHI� T95UED FQI TII15 PMK AW 11£ Ai7tICJIBLE qEp�IRE?ENTS OF T{E MASHIN(iiON STAiE HpBILE HUIE INSTALL�IION LIIMS MD IIE <br /> CITY'S HIAIIE IIWE PNtl( I FU1iffA A[AEE NO CF,q1lFY THAT THIS HOBILE FiC�E IMLL BE INStALLED IN A MUi1l6NILiNE HM�EfI, <br /> �/� i <br /> 1 0 _ . <br /> SIGNED /�// - r � 1� ���Jf7��--. <br /> _�---�__. <br /> CIneF'a7 et DATE _ � �� �'� <br /> i/ y <br /> � � .. ' � � � � � � � � � � � � � � � � .//� � n ~ f�l �+ <br /> '' �e <br /> ' " " - ' - - " " " - ' <br /> OFFI �Y IS I�7E • - <br /> c^_ � .- � c <br /> � M � � � a � \ <br /> Setback�t Ftont _ �� 51� ""�M- ��,,, --� 1�1 --�� T � c� � / <br /> g g g g 8 $ � 11ear 5 <br /> Specl�l candltlm� or lnetructlmet <br /> .. <br /> f � u / <br /> h�proved for permlt lseuerce; � .- '% � -. ,� . /L�- : /C /�y <br /> � <br /> 6/�B/B7 � em ry r men �+ a e <br /> 19Blrl jj <br />