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MOBILE�yOME PERMIT <br /> CITY OF EVERETT,BOILDING DEPARTMENT <br /> 3200 C`edar Strect <br /> �j�� � Everett, WA 99201 <br /> Elrctrlcel Petmlt No. ��� , _.�_. � <br /> �tmlt No. _� <br /> �/� , �� t_� ��; . � , . <br /> Sewer i'ermlt No. �c.�+ ���� ,`'' � �� _ ' ' <br /> ' „. a � Deke_R p V4 g 7 <br /> ., <br /> �(c"1!� � " ? <br /> Nater Pe�mlt Ib. �" E � ? , <br /> — > > t° i, <br /> � i �� � <br /> ^g ��G�d � ' `� .- i}7 o i5 " . <br /> Plunbl Petmlt No. �- � � w r: �t ,� 3 �.; �_� <br /> . �.� -� i ,� �. . '.. Fee ��� <br /> �eiie N� Park Name FAi2wAY ESrATEs Ho�i�ti Hor+F PAR/C Spece Ilo. zy <br /> Hoblle Ibme Perk Addre;s �y2� IDOn` $T S W EV�QrFaT' <br /> Spetlel Preperty use Permlt lhmber / �j-83 <br /> Pe:k Orner __L'7API.� [�EAF NO c.DiA1G s Plane �3�'Q.4��4- <br /> Helling nddrese /�}Qq /DO � S7� S.W • £1/EIQETT 8d0 <br /> 1lobtle I�rnie nrner _ MELVIN pRuI.SO�I! Rwne �e�3- 9�1'4'g <br /> Helling Addroes <br /> . <br /> Nane Heroilecturer_ GfCR4�2e�. Ns HOH[S <br /> InstelleVContractor <br /> Phone 7 7(i ' 0�3 7 . <br /> nddress 'I,;q�O f1etJ�/ QQ N �`DHONbS Registratlon No. 22�-O� ►-'H C O N <br /> other bulldlrqe m the lot: ___ NON _ * �8s Q� <br /> NOTE� 1. Al1 eddltlonel attucWree requlre eeperete bulldirq permlte� (Storege building, decke, cerporte, etcJ <br /> i 2. Prlor to a[y�ancy, the Bulldinp Depettment ehell lnspect /or cmformence ta the elte plen epprovea by ehr <br /> - Plamlrg Oepertment. <br /> 3. IU1 mablle M�me� �ha11 be xt � ln tamlfence wlth Ux Xnehingtan Stete Moblle Hame lnstalletlon Lere (MIIC <br /> � Y96.1S�.100 to 455) whlch aro evallable at the Bulldlrq Oepertment. <br /> PIY1K OMIER'S CfRi1FICAIlON1 <br /> 1 fIGREE 41D CERTIFY TINf THIS M�ILE HRIE NILL BE SITUAIED IN q HIIMJE77 THAT MILL IIE'Ci TIE 5,'ECIFIC REWIREFENIS OF IFE <br /> SPEL111L USE PERHIi ISSLED FOR THIS PMK Myp TFE APPLICIIBLE PFIOVISIONS OF TfE CITY'S HOOILE FCTIE P�'AK CO�E, <br /> IF ilE INSilILLER'S CfJ11IFICAiION p5 SET FQITH IN iHIS PEIIMIT 15 NOT SIGI{D BY 'rE INSiIILLF71, TIEN, BY SIGNIt� TIIIS <br /> I47tHIT� TIE SIGNfIIQt �F 71E F'NM p11PEA�5 CflITIFIGltt711 N.50 A(i1EE5 MD CEpiIFIES f0 TIE FOlLON1NG: (1) ttNt TN: ;IOBILE <br /> Ik]HE MILL BE INSiN.IED IN IICCORDIINCE MITH TIE REGUTAEF£NTS OF TIE S'ECIIIL qi0f'EftTY USE IfliNli 1551kU FOI THIS I�MK A1D <br /> ilE NTiICfYJLE RE4QlAE1dENT5 � Tlf MASIIINCTON ST11TE HOOILE 1101� INSTIILLqTION LPAS MO i}E CITY'S NOBILE fpNE pA9K COOE� <br /> MA (1) TIUIt iFE HOOILE IIi1F. MILL BE SNSTpLLED IN A MORIWlU�IKC MMlEA, NpTH:NG IEFiEIN IS INTEPDEp TO pUUlGE 11E LEGN. <br /> RELIIt10N5H1P BEfNEEN 11E lICBILE IpA£ ONrfp� ►IpgILE IA7�1E pMK ON1Ep Wp 11E IK.,TIVLLEII, <br /> SIGKU— �' '^'�"` OIIfE � ff �J. <br /> er rne`ri enepet �_ <br /> 1MtALLEq'S CEqTIFICAT1Qlt <br /> 1 Of7�EE �1O Cf11TIFY i1U1T IIIIS NOBILE ViOF£ MILL BE INS111LLED IN IICCORDl�NCE MIiH TIIE REq1If1EFiNiS OF TI[ SPECII�L iT10f4qtY USE <br /> iE11Hl1 ISSUED FO1�T/If5 1'MH IU iVE MFLIGIBLE REQIINEMENIS OF TIE MIISNINGTON SiM1TE HV3ILE fl� 1NSTIILLIItiON LIIMS RD TIE <br /> CIIY'S HfAlIE lIW//pMK COUE. FUi11EA p(71EE AW CfRTIFY TfUli THIS MCDILE IIOME 111LL BE INSfIILLED IN A MQIIGIlIN.1KE NAMlER, <br /> I <br /> SILYJED _� � � Q0�A,�y1 ^�,, <br /> 9 <br /> �l ns e � er \ � ! -� UIIlE l ' ^ <br /> ' ' ' ' ' ' ' ' ' ' ' - ' ' - - ' ' �' ' ' ' ' ' ' ' ' ' - ' ' - ' - ' ' ' - ' - ' - - - <br /> ' - ' - ' ' ' - ' - _ - ' ' ' - ' - <br /> OFFICE USE ON.Y BELOM THIS LINC <br /> Selbeckei Frad /J� Slde �� Side n� i�ear ���� <br /> Speclel condltlone or inatructlonst <br /> MOtovrd fo� permlt lesuerce7 �—C�y��oa, m 7„��� f/i�gi�7 <br /> 6/7Pi R7 '•e�i r y r men - aII-Fe---- <br /> 19Pl11 <br />