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MOBILE NOME PERMIT <br /> CITY OF EVERETT BUILDING DEPARTMENT <br /> 3200 Cedar Stceet <br /> Everett, WA 98201 <br /> Electrlul Pet�nit /b.�j ��� � <br /> Ftitmlt No. � l l:l.� <br /> s�.�r �rmii aa. __ �.t�71� Dete /��rsf�, <br /> Mater Petmlt No, �C��-'� <br /> Plunblrq Petmlt No. �Gal3 Rlr ��, <br /> — f ee <br /> Hoblle Hrnie p�tk Neme F(j�2WA�/ �ST�Trf S I S C� , <br /> Spece No. _ <br /> Noblle Name P�rk Addroee ��F�,� I W� ST $ 1� I �i��,G`-f <br /> Speclel Prapetty U�e (�rmlt Mmber_ �J�-8 3 <br /> ParkOrner ('�1'�(-�,(� LfEAF F�OI.j>Il.i(�S Phone .�3�]'ZWZ� <br /> Halllrqllddrese �4'2� �(J� n` � 5.\�� <br /> Moe11e Floee o.�ner __ _T�NhI. �1�E.� S T��V i R,one �'37-9 4 6; � <br /> N�lllrp Addrees 14 Z`� �vp '�` S� 5 ,_,;; ����,��, . <br /> Fkme H�nuf�cturer <br /> Ineteller/Cmtractor __ 1...@M�,q��j�..• pry� 7`��,— U�j(p 3 <br /> R..lrene I�+� L'7 Nw7 q� l�yur.i,,,�y"1� ",�1 �74i�3� ReplstratlonNo. �A - MI� - ' <br /> �N 123 ��6 <br /> otner Wlldlnpe on tha lvt� /�DDvI%�'C . <br /> ## <br /> NOiEi 1, All �ddltlonel etructuree requlre eeperete bulldt � <br /> np Detmlte� (Stonge bulldlrq,�ort,,e, etc,) <br /> Y. Ptlor to ocey�arcy, tM Bulldlrq Dep� •tment �hell lnspect !or canfonerce t��1� plen�epprove0 by the <br /> PLmlrq Oep�ttment. <br /> WRTER f60.D0 ' <br /> ). All mablle fwnes �hell be xt ip ln eapllerce rlth the Mashlrqtm S��te HoMQ�a(�ql�InetelLtlan Lewe (XAC <br /> t96.1361.207 to 25S) rh1tA �n w�ll�ble �t the Bulldlrq D�p�rtment. ��� 110.00 <br /> PIY1N OMER'S LERiIFIGIt10Nt ��� <br /> PLBG f10.00 <br /> I AGREE lUD CFATIFY 11N� ►H[S II�ILE IIRE NILL BE SITUq1EU IN A MAM�A TfNT XILL IEET I EOUREFIENTS OF TI[ <br /> SFfCllll USE WAHIT ISSILD FOR iHiS PPfiK MD TIE APPLICABLE PR6VISIpS OF TFf CITY'S FqBILE ����•G � <br /> IF TIE INSTIdlE11'S illiTIFtGITION AS SET Fl7RTH IN THLS PQWIT IS NOT SSf7ED BY TrE I�CLFA iSEN5�8Y SICIlINC TIIIS <br /> fViNIT� TIE SIGNIIff17 ff iff PIYtl( ONfEA'S CERTIFIC11fI0N ALSO W71EF3 prp fI,pTIFIES TO iFf FOLLOMING: (j) TkUli TFf FlpglLE <br /> Vk]FIE M1LL BE II�6TN.Lm IN ACCqiDIUlf� MITH 1{f qEp13RE?ENTS OF TFf s�{CIIIL FR�EATY USE PE�WIT ISSIEU FJI THIS PNIK IIW <br /> ilE NRIIYIBI.E FEQIIRDEHTS ff iFE MASIIINGTpI SiATE lI�ILE IIOAE IA,;AL.I,ATIOrI LAMS IIID IF£ CiTY'S HOOILE fIOME pMH CODE; <br /> kO (?) i1Nf iFE lI�ILE F�E MILL BE INSTIILLm IH A MOIIIQIMLIKE MIWEA. NOfHINO {fNEIN IS IMEIOED i0 pWlGE riE LEGAL <br /> NELAT10D6HtP /� 1 N IIE N�ILE FQf� OIREq� ►qgILE FO£ PAIU( ONIEfi qr0 T{E INSTIILLEA. <br /> stcrco _�!i'�'W�"""�"" -�J� C3�t/"l - OAiE J J w..� S(4l <br /> �[K urnermenapetl . — <br /> IIb111LLER'S CERTIFIGIT10Nt <br /> t Af71EE IIfD LII111FY TIUIT 111I5 NOBILE FIO�£ NILL 8E INSTN.LED IN ACOORDNCE MITH TIE REpUIREA£Hi5 OF 11E SPCCII�L rt10PERIY USC <br /> ►EIINIT 1551[D F011 TIIIS PIYIK MO ilf MPLIG1BlE REQU1fiEFENTS OF T{E NIISHINGTON STA1'E NOBILE HONE INSTN.L�I[ON 1�M5 MO TIC <br /> CIIY'S HtA1LE IIUdE pNtlf qAE, I FLRilER pUiEE MD (ZqTiFY iliAi_.THIS IIOBALE FiOME 1MlL BE 1r6TILLLFD IN q NQW�NILINE HAIREIi, <br /> SICNED� - � <br /> � . DAiE `� ( . - �'� <br /> na s er ,------ <br /> ' - ' - ' - - ^ - " - " " " " OFFICE USE ON.Y BELOM THIS UNE� - ' - " " - " " " " " " - - ' <br /> � 13 � P'�,N •i,{'m.,�-< <br /> (3G:fJ�:fN "I�uPT[iL1_ � / <br /> Setbecku Pront �G Sl�k �� �°d"`'�j� �� � ' <br /> ._ _ Reat � <br /> Specl�l candltlms ot lnetructlmst <br /> h�proved for permtt Issuancet ��`•��i� (, t�' - <br /> am np er men a e <br /> 6/7P/B7 <br /> 190BH <br />