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MOBILE HOME PERMIT I <br /> CITY OF EVERETT BUILDIN6 DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br /> Electrlcel Permlt Ib. __���_ � . Rcmit No. 7 ��S� _ <br /> Seret Permlt No. � (p 3z � �. ;, . . Date __._�� A_� 8�/ <br /> � � <br /> G ��� '� <br /> M�ter Peimlt Ib. S�IQ ;� �;; `.., . � �. <br /> Plunblrq Permlt No. � / 't�tJ .. . � . .. .. � Fee <br /> ►bnu� ri� Perk Namc FAi2wAY �STF�T�-S Ms/�l�h. lI�l"1l� �AkIC . Spece �+�. /(03 <br /> r+oi,u� Hanc Perk Pddress /4�2�7 1Bo �` � S.W �•rrf22i1 <br /> Speclal Prcperty Use r��ic r��_�5=83 —. <br /> Patk Orrrr MAP�.� �.fAl' ff8�lNbt$ Rione 3�'/'Zy'Z�T <br /> Hellirq �ddreee ��{� �(�� �. $�� ����� <br /> Mab11e I�ane o.+,er _[�f�i�N�/ M /� CHR N . '�,one ��, <br /> Ilelling Addrese <br /> Fkine Menutecturer S`tAflt ��mR � <br /> 1l�I � .� <br /> Ins!slledCantrector Y� 1�1p��L�Z No��i�u�� �YS �E.I"1 R� X 5 5 � ���c � _ <br /> ndaressx ti�1IS�- 57r���,En, 5 RegintratlonNo. ;, �A "LI' }1S l'1 /yG�S <br /> other wtldings m tlx lot: r(JON/� <br /> NOtEt l� All eddltlonel atru�turee requlre eeperete bulldlnp Detmite, (Storege building, decke, cerpotte, etc�) <br /> Y. Pr1or to occi.t>ency� tM Bulldlnp Department ehnll lnspect fot confotmence to the elte plen epproved by the <br /> Plemlrg Deper[ment. ' <br /> 7, IUl moblle hvnee shell be aet �p ln crnpllaroe with the Neahington State Moblle Nome Irstelletlon Lere (NI1C <br /> 296.1SOf.2o0 to 235) whlch are �vailable �t the Buildlnp Uepertment. <br /> PfY1K OMIER'S CF]iTIF1CAIlON7 <br /> 1 11GREE p�b CEIITIFY 71NT iH15 11�ILE FIU1E MILL BE SItURTED IN 11 HIVNER 1HIIT N[LL IIEET TIIE SI''ECIFIC REOUIREI£Nt5 OF TIC <br /> SfECI11L USE 1'ERMIT ISSLEO FOfI THiS pPRK MD TFE N'R:CIIBLE AiDVI510N5 OF iFf CIiY'S HOBIIE HUIE PMN COOE. <br /> IF ilE INS111LLER'S (:fRlf(�ICATION AS SEi FpiTH IN iNTS PFJWIi IS ND� SI[71ED BY riE INSTN.LFIi 71fN� BY SICNII': i1115 <br /> f47iF1IT� ilE SI[71�I(i1 OF 1!E PMN OMFEA'S GEIiTIFICAtION IILSG M71EE5 111a ff111IFIE5 i0 ilE FOLLOMfNG: (1) TlU11 iF£ HOBILE <br /> IU1E MILL BE IrL;TN.LED IN IICCQiDI1NGE MIIN TFE 11Ep11HENENfS OF TFE Sf'ECIN. PROF'ET1TY USE PEIIMIT I551E0 fQl iHIa PfY1N 111D <br /> 11E AR7.ICI�BLE REGVIIIFT1ENf5 OF 71E NIW1INCtON STAiE HOBtLE 110r£ INStILLLAtION LANS MO 7}E CITY'S MOBILE fIOME PMK f710E� <br /> NA (2) TUIi ilE HO�IL NILL BE INS�N.I.ED IN A MORIMIIr1IKE NM711EA. NOTIIIN(7 IE7IFIN IS INTEIDED 70 qUW(t 71E LEGN. <br /> RELATIOIGHIP BEIMEE ILE k0£ ON�it� HOBILE FIHE PMK OM1E11 MO ilE I�iW.LEA. <br /> SIGPED --. D�fE f•r ,•v�1 Y /- --- <br /> ik .ix—�7Nanepei <br /> Ir5f11LLER'S CERTIF1C11IIQ�: <br /> I �TEE ��D tI14T 711I5 A10BILE IIR£ MILL BE INS1AlLED IN IICCOROIINCE XITH iMIC REOUIIIFA£N15 OF tlC SPECIry. R101'ERiY USE <br /> iEtlNli i55 U F IIIS PN7I( MD ilE IV'1"LICIIBLE RFp1IPEHENTS OF TFE NOSHINGTCM! STIITE MOBILE IIONE I175ip1_LMi011 L�NS MD TIE <br /> CI1Y'S LE � FMK LU)E. I FUi1fFR IIUiEE MA CERTIFY iHllT iH15 HIAILE II�ME IMLL BE 11STfiLLED 1H 4 NUtHlI�IL1KE HNNER, <br /> 51(7�E0� ONE _ _ <br /> e let <br /> - - - - - - - - - - ' - " - - - ' - - - - - - - - - - - - - - - - - - - " - - - - - ' - - - - <br /> OFFICE USE ON_Y BELOM THIS LINE <br /> ;�E Slde ctt Slde 0'- Reat � ' <- <br /> Setbacke: Fiont — <br /> Speclel cadttlons or lnstructlonsf ----- <br /> _ � ' ,�•� <br /> h+ptoved for Dermlt ls•an�Ke: _, � l��,,�':--rler`n17g� E'pRt� en�E —��r� --- <br /> 6/7A/�7 <br /> 190N1 <br />