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MOBILE }�p� pgpMIT <br /> CITY OF F.VERETT BUI'.DItvG DE'?ARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 9820i <br /> EleMrleal Permlt No. ��?�� <br /> � 1lrm![ No. / ��') � � <br /> se.rr Permlt No, ^ ? („y 9 � <br /> , oete IL =��- 4C� <br /> Mater Petmlt Ib, ____ 5 Cn /�' J <br /> P1uN�ing Fermlt No. I�y3��3 <br /> Fee <br /> Hoblle Hane Ps[k Name ' � ��, <br /> �"�P <br /> ��'""-'�--- Spece No. _ Z�l• <br /> Hoblle Hame Petk Rddress 14Z'� �pv �`- st � S� W � � <br /> Sprctal Friperty Uee 1'ecmlt Nunber �S -�'3 . <br /> Park Ovner �c�.�'�t� �, qqa.,� N�p��K J t <br /> r�none 3 3 7-24 2�{ <br /> Naui� naarees r4Z> rvo � ST s w �vi���r �,.1(} <br /> Moblle ��ane orner _JIM /-�p« _ " a�j <br /> ��� 77i - bv4 v- <br /> Nslllnp Addreee <br /> lbme HerwfecWtet ��rcJefso.,,i ���,,,,,y� . <br /> InetalleNCantractor ' � � �� <br /> f'hona_7�J (p -O 1 O / . <br /> addrces Z3�i3o Ifwy qe� nJ �,t,��S Repletratlonl:�. _G,�r� i�SH Z.os" 2� <br /> Other bulldlrq� m the lots �tiG�/�+� , <br /> ' NOfEt I, Ail eddltlonel et[uctura teQulte eepatete bullding permlte� (Storepe building, decke, ce[porta, etc.) <br /> 2. Prlor to occ�ency, the 8ulldirq Depattment shall Snspect for con/o[mence to the elte plan approved by the <br /> Pleming Oepettment. <br /> 3. IU1 mob(1e hamee ehall be set �.p !n campllance wlth tl�e Xeehlrgton Stete Moblle Hane InetellaUon LBMS (NqC <br /> • 296.13m.Y00 to 235) rhlch ete avalleble at the Bulldlrq Depertment. <br /> PlYIK OXP[q'S L'�11TIFICAfION; <br /> I IICfiEE WO CEIiTIFY i1NT 111I5 H(AILE HQE XILL BE SIiWITED IN ll MAMAi TIUIi M1LL lEET il� SPECIFIC REpUIRFJ�ENfS OF fl[ <br /> SFECIIU. USE PENMIT ISSLED FOR THIS PMK Mb TrE N'pLICABI.E Ri0VI5I0N5 ff T{E CITY'S MOBILE HU1E PMK COOE, <br /> IF TIE INSTALLER'S CEAfIFICATtON AS SEi FORiH iN THIS PEIWIi IS NOT SIG�ED gy � IN5111LLFR� TfEN, 9Y SICNING TIIIS <br /> lERMIT� ilE SIGN�fRi ff TIE PIVtI< OIRtA�s C�TIFICAIION ALSO AQiEES APU f�p1IFIE5 TO TlIE FULLOM1NCt (1) TlUlf ttE MOBILE <br /> {[1FIE NILI BE INSfN.LED IN IILCRtDMXk MITH TrE REQUIREHENiS OF TFE SfECIfIL RiOPEATY USE PE]WIT ISSILD Fpi iHIS PM'R IUb <br /> ilE NRIGYIIE RE4l11RE?IENTS ff TkE MASIIINGtON STAIE 1�OOILE flpE INSTN.LATION LIINS AFD 11E CITY'S HOp1LE fIU�£ PMK LOOEi <br /> lJ17 (P) TIUIi TIE MB1LE FI]HE MILL BE INSTPLLED IN A MORIWIW.IKE HlIMIE)i, NOTHINC, IEpEIN IS INTEHIED 10 CIW�lGE TFE L'GIIL <br /> qElAT101bHIP BETIIEEN 11E A1�ILE {O�E OtlPEIi� ►�I�E Fp£ pIYU( p�y ry,p hE INSTIILLfA, <br /> SIGPED q� 0lIT! I G �GC... S( 1 <br /> erk Urne'r enapet <br /> INSt11LLER'S Cf11TIFIClIT1U�t <br /> I 11(7iEE �1b (DiTIFY lll0i 1NI5 F10HILE fb£ MILL BE IFGTALLEO IN IICCORDIINCE NIiN TIE REpUIRElENTS Of' TIE SFECIIiL R101'ERfY USE <br /> iE11Hti [SSUCD �pt 111I5 MYtK AFA TFE Mp�IG1EfLE IIEQIIREF£Ni5 OF lIE XASHINGTON STIITE MOBILE f10HE IHSiIILLl1TI0N LIINS RO 11E <br /> CITY'S HfAILE IIRdE pMK CU7E, I FltlffCR Al7iEE MA LEqiIFY THAT 1N15 MOBILE fiOME IMLL BE IfbTN.LED IN A MQtKHlIN.1KE HlUf[II. <br /> / � � �� I <br /> SICNED f l(/1/.l �� ns e�er ` � 1 /`" � �`'� ` o� 4t t� _� � / .� �' �7 <br /> - U�tE �- — � ` <br /> �: <br /> " - " " ' - ' - " ' - ' - " - ' - - " - ' <br /> OFFICE USE OM.Y 9ELOM THIS LINE � ' ' ' - - ' ' ' ' ' - ' ' - ' - ' ' - ' <br /> i <br /> Setbecket F�ront ��� Slde <br /> _ Slde Reer <br /> Speclal condltlons or lnstructtonet <br /> Ihproved for permlt Issun�xe; ��,�� , ���� �2 / <br /> 6/7R/R7 �9 �e[ men �[je e f�'-'- <br /> 198d1 <br />