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� MOBILE f10ME PERMIT <br /> � CITY OF EVERETT BUILUING DEPPRTMENT <br /> i. 3200 Cedar Street <br /> �� Everett, WA 98201 <br /> Electrlul Petmlt No. ����j� ppcmlt No. ,�_ <br /> ' —g � g 8 � 8 1 <br /> Serer Petmtt Na, �p �i � N , M M � Date 2.3 /.L� Ef 3 ' <br /> m N — <br /> Nate[ Permlt No. �� �� �i "� � � � <br /> .. <br /> � <br /> � � � � � � � � �� ^ <br /> Plunbinp Petmlt PM. '� a $ � Fee _ `� /� <br /> Hoblle Hare Psrk Neme _��iwh wG,,,� � C�Q�- Spece Ho. / b � <br /> NM�lle Vlame Park Address �4�� (� � �{ , s .W , <br /> Specl�l Ptaperty Use Pcimlt Mmber � S ' p � - � <br /> Perk Ormer _ ' I� �c�CO(.w� • p�� 3 s" 3 - q 4 4-u-. <br /> Nalllnq nddreea �42� ►Dp � � � , l.V <br /> Hablle Hane OMner i Y' �J.VJ� _ �.w.i�ll�l� , phone 35"3-- H �4.y. . <br /> Helllnp Acktress __ I�I''Z� (60� � . �,(,t). '# �{-�. <br /> Flome Hanulxturer <br /> InatelledCmtractor _ �.42� Z . Rwre 77S —6�-33 • <br />� aaa�e., Z 330 o I-Iw q ,,.�o,.i o(s l�� Replstretlon No. <br /> Other Gulldlrq� m tM lot: V""e r <br /> NOTEf 1. All �ddltlonel atructure� requlre eeyerete bulldlny peimlle. (Sto:epe bullding, decice, cneporta, ete,) <br /> i <br />� 2. Prlor to ar.��eney� tle Bulldlnp Depattment ahall lnspect for confotmerce to the elte p7en approved 6y the <br /> Plamlrg Cepartment. <br /> !. IUI moblle hcmr.s shall be set yi !n campllence wlth tlx Washingtm State Moblle Hame lnstalletlon Lawe (NIIC <br /> 296.1Sffl.Y[]0 to 235) rhlch ere awllnble at the Bulldlnp Depertment. <br />� <br /> PMK OMER'S CFIlTIFICIlflql: <br />� ' -- <br /> 2 IICf1EE APO CQ1TifY 11Nf i1115 HUiILE IN11E MILL UE SINNED 1N ll MNJNQi THAT MILL IEE� TIIE SPECIfIC REWIREI1EIIf5 OF lllC <br />, SI'ECIILL USE PERM[I 1551E0 FOR THiS PMK MD ilE IIPPLICABLE PFi0Vi5I0N5 OF 71E CITY'S MOBILE II�HE PMK CODE, <br /> IF ilE INSTIILLER'S CERTIFICIITION p5 SET F0f1111 IN iIIIS f'OUIIT IS NI1T SIGI�EU BY ilE INSfN.LETi 1fEN, BY SIGNING•TIIlS <br /> f'E71HIT� 71E SIdUII[il Q' 71E PMH (TIt�4A�5 CIIIIIFICIIIION /�L50 pCItEES IUO Cf7iiIFILS TO 7IE FOI.LOIIjNGt (1) TINT TIE F100II.E <br />� fq£ Mltl BE 116TN.LEb IN IICCORDN7C£ MI1N 71E REWI'1EMENiS OF TkE SPECIIIL RiO�'ENTY USE PEJIHIT ISSUEI) FCTI TIftS f'N�H NU <br /> TIE N'FLICIIBLE RLOUIIIEFENTS ff 11E MIISIIINf710N STIUE HOOILE IpFE INS111LLAi70N LAXS MO DE CITY'S HOOILE 11061E PNtN CAPE� <br /> Mf) (7I ilU1T 71E IK)9 IpE N1lL BE INSiPLLEO IN A MQiIQAM1IKE NMNEA. NOTNIIM If11EtN IS INfEPDED 10 qWlGE TIE LECAL <br /> RELAilO'6HIP BET 1 HOBILE fp1£ OMEIi� H�BILE f1iTE PNIN OXri71 AID riE INSTALLEA. <br />� SICFEO �. (;�0'p'ci"l OII�E Z� �3 <br /> u <br /> B[ M1CC BI1Bpl� <br />� �rstaucn�s ccnrtFtcni►ai: <br /> I AI7�EE AII1 CfATIFY i1Nf THIS NOOILE IIUE MILL BE INSTALLED IN pC00RDI1NC£ XITH 11E REGUIREFENTS OF TIE SI'EC1�V. iNOPEFITY USE <br /> PEfIHIT ISSIP.D Fpt 711I5 PMN F O TIE MRICJIBLE REQUIREF£NTS OF ifE NIISHlNOTON STIITE FIOBILE VIOF£ IIISTN.LAfION LIIXS P1D TIE <br />, CITY'S 1rq:�E IiR4E PMK ClAE, I FU11FfA A(7tEE MD CfRi1FY iHAi THIS M�BILE IIOFIE IIrt.L BE IIbIALLED IN A XQ1�ctW11KE HIUIIER. <br /> SId�FD�\ �� �QJM .!J?.1�� DATE <br /> �������� <br /> l/I13L911CI'� <br /> � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � <br />' . OFFICE USE Of1Y BELOX i11I5 LINE <br /> / � / <br /> Setbackef Front �_ Slde Slde Reer <br /> SpecLl condltlone or lnstructlenei <br /> Approved for permlt Issunice: �/L <br /> elining r m �TU���— <br /> 6/7B/97 <br /> 19B01I , <br />� <br />