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M�BILE HOME PEIiMIT <br /> CITY OF EVERETT 6UILDING DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br /> Electrlcel F�rinit No. ���j / Fbtmlt No. �u �(fJ <br /> r. (}� <br /> Se.ec F'ermlt No. ��� Dete �j�G,�'r3 Q <br /> Nater Pecm!t !b. _pl� � / _ <br /> Plumbinp Petmit No. CSC.� �7 /�') Fee � `��� <br /> Nobite r+m�e Perk Neme rAl2wIFy t�SrATI�,S /`�o/3+�Jf. iaorl�� f�421�soece �m. ��_ <br /> u�,ur Ilame Petk Add�eee 142'7 IBca�" �T� S � �V��£�I <br /> Speclal Praperty Uee Recmlt Mmber ��' $�'� • <br /> Perk o�ner P1RPti� uTiAF Ff O�..DING:� Rwrx 337-Z4 Z4- . <br /> Nalling Addreea __[_4�� ��� ST 5 W L�VQj2f'c.T�. <br /> Noeii� r�� o.�r �e�l SI��i.AJ�2 mo�e 774f 67 ff � � <br /> Melllnp flddrees I 4"L 7 I cSc7�` S� ` . � �u��Q�;1( . <br /> Hone Manufacturer <br /> ineteller/contrector oaY, v�+�-v �-1 o++tie-C . Phone���� — L� S�� <br /> Add[ese q�o 01 d . T��-B""1- �^� . R�C7�}OR . Reglatretlon Na. L�'A - �f�-I M - H f� <br /> S591J <br /> o�n�r �,iiai�� «, cn� io�: _ N��u �"4_. <br /> NDTEt 1� All eddltlanel a�ructuree requlie eepet�te bulldirq perm.lte� (Storepe buildlnp, decke, ce�perte, etc�) <br /> 2. Pr�or to occ�ryarey� the Bulldlrq Oepartment ehell lnspect for tanfotmance to the slte plan approved by the <br /> PLming O�pertment. ' <br /> 7. A1l moblle hamee she11 be set ip !n eomplience with the Xeshington Stete Mob11e Home Instelle[lon Leus (h'nC <br /> 296.15�.100 to 255) rhlch ett welleble at the Bulldlnp Depertmen[. <br /> PIYIN ONICR'S CEATIFICAilp1; <br /> S OG�1F-E A�D CERTIFY 111l1! THIS HWILE F1Cf1E MILL BE SITUAiEO 7N ll M�MlE77 TINT MILI !£Ef 111E S�ECIfIC REWIRFI�ICNiS OF T!E <br /> SPECIIIL USE PfNHIT ISSI�D FOR TH15 P0.�IK APD TF£ MPLSCflBLE PROVISIONS OF TFf CSTY'S MOBILE HOFE PMN COOE. <br /> IF T!E INSTI1LLf1i'S CQitIFIG1iI0N 115 SET FORiN IN iNIS PEIIMIT IS NOT SI(71ED BY THE INSTI�LIEA� iVEN� BY SIGNING iH15 <br /> F41iH11� ilE 51[7ll1I01 ff ifE PIYtlC OIRfR'S LfAiIFICATION IIL50 IUiiEES MD LERIIFIES TO ttE F0.LOhING: (1) TWIt iV£ HOBILE <br /> IbHE MILL BE INSTN.IED 1N AGCQIOIIN[£ MITH TE REQUIRFMENIS OF TIE 5'ECI�L RiOPQitV USE PQ1N1T ISSUED FQ1 THIS PIY1K MO <br /> TIE MRICI�LE RE4VIROEHTS ff TFE MASIIINGION STAiE MOPILE f10hE INSi^" '1TION LANS MA iFf CITY'S HOBILE f70ME PMK LDUE; <br /> MA (1) ilUl� TIE HOBILE IIONE MILL BE INSTAI.LED IN A NOfiIP1MLIKE HMRJl7�. NOTHINC IEfiE1N IS INfEPDED TO CfIMlfE TFf lEGlll <br /> PELATI0�SH1P BETMEEN E HOBILE 1�£ OMIFA� H�IL FIHE PIY11( OMIETi AM llf INSiN1ER. <br /> � ,�/ t/ <br /> SIGrEO Q .��� `N • OATE ���� �d • <br /> ---( eP—T�r c�B-imer eneqet <br /> 1MS111LLER'S CEATIFIC111ION: <br /> I �fT�EE Ilfb Lf711IFY THIIT iHIS H�BILE fIQE MILL F7C INSTIIIIED IN ACCp1�lINCE XITN TVIE IIEp1IRE1[NTS OF ❑C SI'ECtPL fT�OPENTY USE <br /> iETiNfi ISSUED �Cfl TIIIS PMM IUA TIF MfLIfJIBLE f1EpUIRElfN15 OF TIE XIISHINGTON STlITE HOBfLF f10ME INSiI1LLl1t10N LIIXS P�I� TfE <br /> CI1Y'S MDILE PMK COUE. 1 FIqlFfft Afd1E� CERfIFY 7HAt TH15 M[1FiILE fIOME IIILI. BE IISi11LLFA 1N A XUIWIIIrL1KE HAI1IEq. <br /> To� � � ��� <br /> 51(7�ED - l� � �i� �°. .., DATE <br /> : ,_._ <br /> ��� e� ���� ��.� � ,� �,� �7$�7��- - <br /> _ � � � � � � � _ � _ _ � � . . ' 7 N �•�, � �; -.�- - - -'� � � ' � ' � � � ' � ' � � <br /> G � <br /> Setbacksi Front �Q / �dw � ,Sl� ��� Rear <br /> cno 0 0 � <br /> Speclal condltlms or lnstrucUms: g g � 8 8 8 <br /> _ �- � � <br /> fpproved for Rermlt les�ance: E_<'��Vi(./C/en rq r men — ` �/ <br /> "F <br /> F/?4/87 <br /> isea� �Z ��'�,1�'�—('� ���. � <br />