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�� MOBILE IIOHE PEMIIT <br /> CITY OF EVERETT BUFLDING DCPARTM6.IT <br /> 3200 Cedak�Street <br /> Everett, �IA 98201 <br /> . .. �, _l����.�-- <br /> Electrlcal Permlt No. �i�� �'� It+rmlt No. _ <br /> c.n r:� r:, c� � : <br /> 'C CJ O O u �.i � n <br /> iu iri r� �:i ; u �f�g OGI S• � <br /> Sever Permlt No. �i"� -� , �: ,�,i ;{ .: bate , � . <br /> :� ,., <br /> r�/_ c ��. �a m ri �^� <br /> �+ f � � r i i <br /> N�ter Pemilt 1b. o��L 0�✓ � `� �' r <br /> w � c . �.� ir i � <br /> \ f'1 l l! �'1 I 11' ! f ' �:' NJ1 <br /> .+ i�[JrJ • � � rJ �ilJrillc.i � <br /> ��0�^ r'J illal ��71- r� � / h� i 1 Ii1 � . <br /> Cj \ J J � ] (�_ r� J �".l �lt i i I 1_ F!! <br /> Plunblrg Petm(t Ho. U �i ar��� sc ,.�, :�c o_ :rt _t .i.�u i.. <br /> Hoblle Hane Park Neme FA12wAY C—.STAT'ES H� 3�� Hortr n�2ic5Pa« ��o. 5� <br /> Flohlle fbme Patk Address I�t2'7 I� rt` ST S. W. F.�E2G7T <br /> Spetlel Prcprrty Uee Pe[mlt lkmber �S' 83 <br /> FerkO.rie[ �.�i'�.c. L.F�A� I�OL.UfN[5 _ _ Rwne �3�'zy'2�"�"- '�' <br /> Helllnq Address IY2? �� �` Sr S•w. £�E2+�-�' <br /> Hobilellame0wner YI�L N�T�HEL�. R�one 33�1•'GS�t3 . <br /> F�a►ii�y n�arese cl /� 9 E UE R G R F- _FN lvh � Eu�,��J_�w1` qe��v _ <br /> Hane Flanufecturet������ �'^ � �`!�`'�,t <br /> p,o,� 3 S S'S 737 <br /> Installer/Contractor G,ARR�sow� (-{oM1Ei • --- <br /> naeress q i a y fv<'iCGl�s+�. -c��,�-�u�,rE'Tl L.a �eglsttetlon NoC �O v �C� 9�� <br /> otner bulldings m the 1ot: NONr. <br /> �AIEf 1� All eddltlonel atructures requlre nepetete bullding petmlte� (Storega building, decke, ceryorte, etc�) <br /> 2. Prlor to occ�pency� the Bulldlrq Department shell lnspect far conformerxe to t1x slte plen epproved by the <br /> Plemlrg �mertmen[. <br /> 7, IU1 moblle hanee shell be set ip Sn ccmpllancr wlth the Mashingtan Stete Mabile Ilome Instelle[lon Lews (NOC <br /> 296.ISm.1IX1 to 255) Mhlch ere avellable et tha Bulldlnp Oepartment. <br /> PIY1K OMER'S Cfl111FICOfIONi � <br /> SI�ECI�L USE fEH1TFI55UE0 FO(t iHHIS�PMK�MD tFE MPLICIIIBLETFiiOV SIONSn�IEFCITY'S HOBIIE 1L71E PMK�CIX7E�E�[�Q���TS OF Tf[ <br /> IF 11E 1NSTIILIER'S CFti11FICI1TI0N AS SEi FORiH lN TIIIS PQWIi IS NOT SIGNED BY ilE INSiIILLEII, 1lEN, BY SIC1111lG iIlIS <br /> ►'QINIT� ilE 5�6'1111TO1 �f` 11E PN1K UMrEN'S LIIITIFICIITIOH f1L50 ACiIEES MD CERiIFIES �0 ilE FOLLOh'1NGt (1) 71NT TIE FICOILE <br /> f[7£ MIL�. BE INSIN.LED IN ALCOf1UI1NCE NI1H ilE RE4UIIlEHENTS OF TIE SPECIIIL fROPEAIY USE f'E7tHIT ISSUEn FCiI 1HI5 PIY1K NO <br /> 71E AfTLICPALE F.EO11111F1�1ENT5 ff ilE MIISIIINCtON ST11TE HQIIIE IpF£ INSiN.LATION L11X5 NA 11E CIIY'S NOOILE IIO��E I'�liK LWEi <br /> REL��ilOtbllIP t'� �lT E M�I EllOFE IOMI�O1�110BILN I�E PMnH IONNl7� Mb TIErINSTPII:�EiN IS I1ffE1DE0 70 CIWlGE �E LEGi1L <br />� ,� � \ �y�ji�'" I . UlliE 2� �J C� g / <br /> SIGIED ar B�r eneper� <br />` <br /> IIbiN.LER'S CE7li1FIGIT1U17 <br /> 1 �TEE A�D CQ1TIfY lll�f iHIS M�BILE Fx7£ YILL BE IN5T11LLE0 IN RCCOf1011NC� XItH illE ItE0Ulf1EF07I5 Of TIIE SPEf,tl� ff101FRTY USE <br /> IFIINIT ISSI[D FO(1 i1115 FMK IUA TIE MPLIClIBLE f1EpU1PElENiS OF iFf MIISNIN(ifdJ STATE NOBILE IIUIE IIISTN.I�TI�I L�NS P�U TIE <br /> CIiY'S FIUOILE IIfT - MH C(]UE. I FU1t![fl 11(7lEE MD CERTIFV TIIIIT THIS HOOILE IIOME IMLL BE IISiALLED 1H A hRIHINILIKC HNlE(1, <br /> SICI ^� O�IE ��`� �'�� <br /> C� .er <br />� - - - - - •" - - - - - - - - - - - - <br /> - - - - � - - - ' - ' - - - - - - - ' - ' - ' - - ' - ' <br /> OFFICE USE OM.Y BELOW THIS LINE <br /> Slde S Slde '� neor S� <br /> Setbeckst Front /� . � — "-- <br /> Speclel condltlone or lnstcuctionst — <br /> ,�� i o�L 8 7 _ <br /> l�pproved for perml[ lssun�,_e: e epar men . in(e <br /> f/7P/97 <br /> �c�Nl <br />