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lIOBII.E HOME PEIiMIT I <br /> CITY OF E'1ERETT DUILDING DEPARTMfNT <br /> J200 Cedar Street <br /> Everett, WA 9P201 <br /> Electrlc�l Pern�lt No. _ � 5�� Retmit No. / �j��� <br /> se.er rtrm�c No. _ Z (n �L $ o.ce __ ' j�� u4; <br /> Mater Peemlt Ib. �( rJ J <br /> Plumblrq Peimlt No. z (� �[) z w <br /> Fee ��_ <br /> t � . � �t� �;J� / (� <br /> Noblle Hane Patk Name F ca.vl.��c�.: � �4 �U Q . ��«•-0 1� Space No. � l� _I <br /> � -- — <br /> Hublle Home P�rk AAdteee (����.' 7 I C9fl� ✓ � � � - <br /> Speelel Prcperty Use Ptrrmlt Nunber � S� v 3 <br /> ParkOmer _ `���I.� l_rfAr � 1u1_�nr�)��t � <br /> Rr,ne_� S 3 ' 9 4 4 �{ <br /> Helllnp Addreae 4 � ��� ���a �` �,� . � . �,�J . <br /> Hablle Nane Orner ��c��c�� ��� I e V"• Rane 3 S S "- U.S �(�. <br /> M�lllnp Addreee �4'2� I cr0 «` s �- S �.J ,�rucn.- Ilo-r( <br /> Hane Manuf�cturer <br /> Imteller/Contnctor �i�'����uS� �c3��� ' p� '� �(D - p I O ( . <br /> llddreee 23�t 3v Nw� �5 tl.) �����6a..,r�5 � Peplsttatlon No, a��t�,. <br /> ,�_ � $I� �OS 2C(. <br /> Other Wlldlrqf on the loti (l:�r�-p-- . <br /> tATEt 1, AII eddltlanel etructure� repuire �epente bulldlnp pernilte� (Stor�pe bulldlrp, deck�, ceryorte, etc�) <br /> 2. Prlor Lo xcy�ency� the Bulldlrq Depettment ehell lnspect for cmfotmerw:e to tM elte plen epprovetl by tlx <br /> . Pl�minp D�p�rtment. <br /> ). All �noblle Mnes ehell be aet �p ln campllarce with the Naehlrpton Stde Hoblle Home Inet�lletlon Le�. ,MnC <br /> 296.17Ul.Y00 to YSS) rhlch �ro �v�ll�ble �t the Bulldlrp Oep�ttment. <br /> PlYIN OMER'S Cf1iTlFlCAT10N7 <br /> I NiREE Wb Cf11TIFY IIUIf TIIIS HfBILE FIO�E NILL BE SITUATED IN A HIIMEIi ifU1T MILI lEET 11E SPECIFIC REpU1RE}IENfS OF TIE <br /> SPECIAL USE PFAHii ISSLEl� FQi THIS PqIK MO iFE pppLIGIBLE PROVISIONS OF iff CITY�S HOBILE FK1E pARK CDOE <br /> IF TI[ INSiALLE71'S CIIiIIFIGITION AS SET FORTH IN iNIS PFlq1IT IS N[1T SI(iED BY iFf INSTALLEA 71fN� BY SIGNINC illt5 <br /> ►471HIT� ilE SICIIAIQi ff 11E PIYtlf OXIFA�S CENTlFIUTION p150 MitEES ArD Cfli1IF]ES TO iFE FOLLOYIINCt (1) TfU1T iFf HOpILE <br /> ICX£ N1LL BE lNSiN.Lm IN ACCOIDIIN[£ MIiH TFE REWIRE?ENTS OF TIE SPECIN. R1UPE31TY USF. PEqHIT ISSI►V F(11 �IHIS PMK MU <br /> TIE NRIC.'�BLE REGU[(tE}fllTS ff Tf£ NASFIIN(iTON STATE FI�iLE FIOA£ INSTN.I.AiION LIIXS OM TFE CIiY'S HOBILE FIOME PMK LO�E; <br /> MD (2) T1NT TiE M�ILE IUI£ If'LL BE INSTPI.LED IN p NQIIWIULIKE MMTFA. IATHIN(i FEREIN IS IMEIUED TO qUWGE 11E LEGN. <br /> f1ELRilOfbHIP BE11�EN ilE NWILE FQE OMEA� ►�pgILE NR�E pMK OIIIEA A10 iFE IILSTPLLfft. <br /> a.� � u Li �i <br /> SIGIED � �td=-'� `^-nd / �- ��,k..�(� - DAtE Z v.�,� �i� K <br /> ar mer enepet - --j - <br /> 1.'b1ALLER'S CENTIFICATIO1t <br /> I IIf71EE �10 L4]I1IFY illlli TIqS 41�ILE fIU£ MILI BE INSTN.LED IN ACOOf1011NCE XITH TIE IIEp11RE1£NTS OF 11E Sf'ECIIIL RIOPERtY USf <br /> IERHIi iSSUU FRi i1115 PNIK MO nf N'fi.iCABLE REq11REMENTS OF rif MASHINGiON STATE HOBILE HOME INSTIILLAfION L11M5 RO ilE <br /> CIfY'Sf1�ILE IIWE PNtl( Cl7)E, 1 FIIiTIfR IIfAEf MA CERTIFY THRi THiS IpBILE Hp4E IMLL BE IIbT.1LLf0 IN ll MQIqNILINE WU![II, <br /> Sta+m ���� ��—�t ;� (�CG?-� � ntE � S u �,-� - <br /> ne a er � � � $ � <br /> t'i �a .+ \�' - <br /> ' - - - - ' - " " " ' - - - - " " OFFICFUSE�Y H��1NC�- " " - - - " " " - ' - " <br /> JS �� � <br /> Setbackti Ftont �C> / Slde _�� o �'S1de� � L� Reer �� / <br /> Specl�l candltlme ot lnettuctlanet g' $ g g g � <br /> __ r� <br /> Ipproved for permlt lssuereel ` / Q.'L r�R�� _ - /� �' ; ����� <br /> 'AIemrrq� e men o c <br /> 6/7R/B7 <br /> �qani <br />