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� MOBILE HOME PERMIT <br /> CITY OF EVERETT IIUILDING DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br /> Electtlul Prrmlt No. '�,�� ���„�, / <br /> Flrm!.t fb. <br /> Srrnr f'ermlt Na. ___:���� J y � <br /> Dete_`__ r.n� _��^ <br /> f�ter Pe�mlt No. __����G <br /> I ��I ��U <br /> Plu�l�+g Iktmlt No. �'� <br /> Fee ,� i <br /> Moblle Hane Park Name���r+`w�}y �S�T��S _ �3 . <br /> Spece No, <br /> Nobi►e �• rark naer�ss _14 27 � vo � S� s w �v��r�. i j <br /> Speclel Praperty Use Prrmlt �hmber �S ' d � - <br /> PerkOvner MAP�(�. LgqF �IOL�lNC�S 337-Z� Zy�. <br /> rhone <br /> Helllnp Addtees I 4�Zl'j Iyo � ST e c� LU r�2 r��� w A . <br /> Noblle Ilome Orner [;�Q(��5��� <br /> I-loW�f..0 Pnone �Lf- <br /> _-1- � G a 3 . <br /> Ilelling Addreee _ 2��30 �w y C�C� /�f ��,�N _f . � n <br /> �-a i t- <br /> FIOIk� H811U/�tUIPf 1 <br /> Inet�ller/contrector �(Z��C�IEf2 SON �Oh?fES phone 3y. � - /(� 33 . <br /> Rddrees 2 3 �j�0 �w��c � ��� �S Nepintretlon No. �,�1�� <br /> _< <.,b- _�,�s H zos�29, <br /> Other bulldlnpe an the latr _ N(y„�,� . <br /> IAlE1 I, All eddltionel ettucturee requlre eeparete bullding permitb� (Storege builtling, decke, cetporte, etc�) <br /> 2. Prlor to occi�,nrcy, the Buildlnp Depertment ehell lnspeM for confotmance to the elte plan epproved by the <br /> Plaming Dc7�ertment. <br /> 7. Nt moblle fwaes she11 be eet � In complfence wlth the Meehington Stete Hoblle Home tnstelletlon Lere (N11C <br /> Y96.13�,70p to 235) whlch �te evaile6le �t the Bufldlnp Depertment. <br /> PMN OM[R'S CffiilFlGIIl01J; <br /> I IIGREE AID CEI7TIFY 71111f iHIS NmILE HO�E MILL DE SiTURiED IN A MlIIJaER 71UIf MILL I[ET TIIE SI'ECIFIC REWIRElIENfS Or IIE <br /> SPECIIII USE IFJIHII ISSlEO FQ1 TH15 PMH IUD T{E MpLl�pg�E HiDVI5tON5 OF hE CItY'S MOBILE FiONE PMK CppE, <br /> 1F TIE INSTIILLER'S CEJITIFICIItIDN AS SfT FORIH IN iHIS 1'E]WIi IS NOi SI(iIED BY TFiE INSTALLEI7� TVIEN� BY SIfNINC iHfS <br /> IEIiHIi� TIE SIGNIIIRI ff TIE I'N11( ONt}p�5 LIIiTIFIC11TI0N ALSO ll(7iEE5 MD ff1rTIFIES TO TfE Fd.LONING: (1) TlUlt i!E F1�ILE <br /> l411E MILI BE IILSTN.LEO iN ACCORDIINLE MITH ilE NEqUtREMENTS OF ifE 9fr,tllL PRRFATY USE PEIWIT ISSUED Fpi THtS PMK MD <br /> TfE NtLICI�BLE REQ1IRf}IENTS OF TIE MIISIIINCTON Sil1TE HOBILE IpFE INSTIILLATION LAMS IUa lIf CITY'S NOBILE fIOHE PlY�K GUOEi <br /> I�M (1) 11Ni TIE FI�BILE lbl�£ NILL BE INSTALLEO IN A IIORNHN,IIKE MIUNE}l, NOTHING fEIIEIH IS INTEIOED 70 CFUUlfE rif LEGN. <br /> RElAT10rbHIP 9ETMEEN IE MJBILE {�£ OMlfp� Npg(�E �p,1E pry1K p� qb pE INSTALLER, <br /> SICrEO ___�___����r� .� �pfE �[1 �4hr�1. d �• <br /> a �iiei7F eneget _ / <br /> I16TAL.LER'S CF]iTIFIGITIQ�: <br /> I 11f71EE NA LFJiiIFY iNIIT TIIIS N�ILE fIU£ MILL AE I�6TN.LED IN ACCORDIINCE NITH TF�E REp114E1fN�5 OF ❑E SFEC[I1L TqLRTY USE <br /> iERHI� ISSUED FQI 711i5 f'MN NA T}E 1y+p�IClIBLE REQIIIIFAENiS OF TF.�. MIISHINGTON S1AfE HOAILE liOME 717STIILL�TION L�MS AIU 11[ <br /> CITY'S HIAILE IIp1E PMN COUE. I FlltTffA q(71EE Mp CERTIFY THAT iN15 HOOILE fIOME IM.L BE IIS111LLE0 IN !1 MCitPNI1N.IKE HMf[R, <br /> SIGNED �4n ,� / ) <br /> '..■:� er ____.,d� � Fc7�f''1 �' DAiE _L�/_.�(/ <br /> - - - - ' ' ' ' ' ' ' ' ' ' ' - ' - ' ' ' ' ' ' ' ' - ' ' ' ' ' ' ' ' ' ' ' - ' ' ' ' ' ' ' ' ' - - - <br /> OFFICE USE qLY BEL011 iHIS LINE <br /> Setbecke: Ront /� Slde ;ldc Rear > <br /> Speclel condltlme or Jnstructlonss <br /> _ _i� <br /> � '� <br /> hMrovcd for permlt lssuerce: _ �_ �� �l � ; � � {�.� � <br /> em nq epar m�y"-�—'— .- <br /> 6/?P/87 ' [��e '-- <br /> 19PPi <br />