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MOBILE IIOME PEPMIT <br /> CITY OF EVERfiTT BIIILDING DEPARTM6YT <br /> 3200 Cedar Street_ <br /> Everett, WA 98201 <br /> Elettrleel Petnilt Mi. F'rrmlt No. ( / QS/ <br /> Sewer Permlt No. ����(J Dete % � ���.� C, ' �' <br /> �� <br /> Nate[ Pe�mlt �b. �p��, <br /> Plunbing Petmlt No. ���`�`� Fee ���� <br /> Floblle Flcm! Park Neme /�i�, r;� t,.��l y F'ST/a i z: /'IL�.i/1_iF !f r� �`•.S /'/�/.'i<.spece �io. �"� �= <br /> Hoblle Flome Park Addtnss _/ �±n� 1 /�•�t. �� .�> > `� I�. � ;��b i�7:'�T 71.� <br /> Speclel Prcperty Us! hnnit Mmbet� �y -('�,� <br /> Park O�rt+er /-1 Ai-:�.�: U"�;/- /•C�%..�,r.,, Pha�e — , 7 ��_,_'�. <br /> Malllrq Addreae I�-I�l� /�"' �. ��� j-T � ( .. ' < < �J!';i �/� <br /> Mob�le Ho�e om,er /1� � i��f t) �', �1 r�r� l f{ �'� Ft,o�e 355-158� <br /> Ilalllrq Address =)��n('ir_ Si� ��Jr/�/tJ/�% L.ST/�T/t`', li�ii' � /'-.T�il. �7 ,� Gti rl�%tY,-�R'// <br /> f�ame Her�ufxturer A^_ ,", <br /> Ineteller/Ca�trector — � '' _�C��' ��"�' a% �'-C��IIL�� <br /> -��� <br /> nddrese � neglstretiai Nd''���/ �7/`0`" / <br /> w <br /> otner bul�dtrqe m tne �ot: _ /�1nn�F' _ — — <br /> NOiEt 1. All eddltic��al etructuree requlre �eper�te bullding permite. (Stor�pe bullding, decke, ceryarte, etc.) <br /> 2. Prror to ocnpancy, the Buildl�p Depertment shell lnspect for cmfotmence to the slte plen approved by the <br /> Pleminq Drnettment. • <br /> 3. IU1 moblle homee shell be xt ip 1n crnpllance wlth the Weshingtan Stete Mohlle Hanr Installetlon Lews (MlIC <br /> 296.1Sm.700 to 255) rhlch �ro �velleble at the Bulldlnq Depettment. <br /> PIYIK OMfER'S CEIii1FIC�f10N7 <br /> I ll(�IEE OIU CFAiIFY lllllt TH75 HCBILE H01E MILL BE SItUIl1ED IN A MIIMIEl1 THllt XILI ![Ei TfIE SPfCIF1C HEWIREFCNTS OF TI[ <br /> SPECIIIL USE F'ERHIi ISSIiED FQI TNIS PMN IUA TFE IIPPLIGIBLE PROVI5ION5 Of ilE C1TY'S MOOILE fqF1E PMH LOUE. <br /> IF ifE INSTALLER'S CERIIF1CAilON AS SET FOIiTH 1N 'HIS F'ETWIT IS NOT SIGNED BY iVE INSTN.LE71� 11EN� BY 5[C11INC TIIIS <br /> ►E71HIt� TIE S1GNlII[1i OF TIE PIVIK OIII�FA'S CQITIFICAtION AL50 p17iEE5 MA CERTIFIES TO TI£ FIX.LOMING: (1) 71UIT 11E N�ILE <br /> !U[ MILL BE INSTN.LEO IN ACCQiDI1NL£ MITH TIE PEplII1E}�NTS OF TFf Si'ECIIIL R70i'EATY USE 1'ERMIT ISSI�D fQl iH75 PMN MD <br /> TIE AfRICIIDLE REGVIItEF£NIS � TIE MIlSIINCfON STIITE MOOILE fi0lE 1NSTALLATION L�kS IUU ilE CITY'S HLBILE fIOME PMN GDOE; <br /> IVA (?) 11U1T 11E k�QILE If0!£ NILL 9E INSTN.IEU IN A M0IHHIIN.IHE MM1NEli. NOTHING fQ�iN IS INfEWED i0 ClU4lCE ilE LEGN. <br /> RELIIIIONSIIIP,B61 �'TIE HOBILE IbFf OMIER� NOB E H0�£ PMN OIR�R AW �IE IlLST11LLfA. <br /> � / � /� <br /> / / � <br /> SIGrED r )� ,�: .rcl` r��� 'L , DIITE ii ! �i,- �, <br /> er Simet enaqer <br /> i/STALLER'S CEATIFICATIOFl: <br /> I �TEE ��� CL7ITIFY TIIIII TItlS HOBILE fIOFE MILL BE INSTALLEO IN ACCORDIINCE XITH iHE REQ11RE1fNT5 OF TIE 5�'ECIIiL ii101EN1Y USF. <br /> 1'fRN1T ISSLIED F(fi TIIlS PlYIK pfA TVE IY'PLICI�&.E REQIIRE1tiNT5 OF TVE NIISHINGTON STIITE HCOILE FIOME IIISiN.11IT1U! LI1M5 ��b TIE <br /> CIIY'S HOOILE IIQ�E P119R CQIE. I FLRTFfA AQiEE CERIIFY iHAT iHIS NODILE fIOME IIfLL BE IIbiPLLEO 1N A XQiK1UIN.IKE NANER, <br /> SI�NED �nf�/�_ QiliE ��"�'���T_ <br /> -----rr�E-T�� � <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> OFFICE USE ONLY 9ELOM TNIS LINE <br /> Setbeckst Front L'�� SSck _�'- Side �.c �enr =�_ <br /> Speclel cordltlons rr lnstmctlonet _ <br /> PpProved Ior Dermit lssoance: �.. �,�/����_:[��� .,t, � �i47 <br /> • � `/ tBflf1jf10 �PPBff111B/11. j^-��11A�C -- <br /> F/�Q/8) ` � <br /> ise�u� / �� <br />