HomeMy WebLinkAboutBLD11344 Mobile Home - BLD Application - 9/2/1981 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP HONE
uS E o o i �►- E/L Qbv 7
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. ram, SL uerTee c),F lk)U)2 4cmr7cr04 Se! Uur t Sec /3 A/v 1-- —f
CONTRACTOR (S
N E MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
rd plc—
USE OF �n
BUILDING d?(rS ( CP C Ci
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: v , ,o Igo We
Valuation of work: $ / , PLAN CHECK FEE PERMIT E ' rr-
09
SPECIAL CONDITIONS: J
BEDROOMS I DECKS CARPORT [] NOTICE
BATHROOMS / TOTAL SQ. FT.--- GARAGE []
ATTACHED Ll SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE Cl DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
PERMANENT I_I SHORELINES
conformance therewith.
SEASONAL FLOODPL, f1
Firm E.D. NO. S.E.P.A. Li
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
hich this permit is issued and that all work done will ROAD ACCESS
e in conformance therewith. MOT VEHICLE PERMIT
PLIC 10 A OPTED BY PLANS CHECK BY APPROV F CE
Own 0 ate. � BY
G
VLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ASH
PLOT PLAN
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ADDRESS PERMIT NO. f
0
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n >
LEGAL c-
DESCRIPTION LOT EC �3 ;�/ j Z(} �U BLiC Ag-L y� ADDITION
C C'�
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SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft. 3
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION A-'D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL Cl
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- LA
TION THEREOF.
Sao i - �1� �voco a
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
S�
rT
C.
t/ Gc =
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(5) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
6M ELT ON PRIN TINS
�►ao�3 _ ya - gvr��a
2.Buyer: T. ! y r-` Res.Phone
B
r IC us.phony
Address _' ;.t City V State
ZIP
B. AGREEMENT TO PURCHASE: f
Buyer agrees to purchase from Seller under the terms and conditions specified in this document the following described property:
C. PROPERTY DESCRIPTION: EXManufactured Home ❑ Vehicle ❑ Accessory ❑Other item described as follows:
N w Used 7
Stock No. ❑Year model as titled Make /��E/'T Model j)Jr I!�•7�1 1,�,li L _ on "M
unit nspect Buyer: " W / r
Serial Number7Li�<t 1,«. ❑Factory Order,substantially the same as:SRO Floor Plan No.,
l � -
Together with the furnishings,accessories and services Indicated hereon.Even though the property Is Identified above by stock no.,serial no.
or as"factory order,"the Seller may substitute any other property which otherwise meets the description and specifications set forth herein.
Property described as "new" is property on which no state certificate of title has been issued. See also Part II, para. 2 and 4(e).
D. RECORD OF TRANSACTION: CHARGES Seller's List Price $ c,
Amount to Add
1. Agreed Base Price of Property u / j Y h ADJUSTMENTS: (Deduct)or incluW
Additions, Deletions,Allowances &Specifications.
2. Adjustments: (as shown on right) ,� ��
3. Pilot Fees $ Tie Downs $ LIST BELOW PARTICULAR OR SPECIAL CHOICES OF BUYER AS
TO COLORS,MATERIALS,ACCESSORIES,FURNISHINGS,ETC.
4.Deliv.to homesite&set up—subject to Part It para 6,
and Part IV.Set up &Site Requirements Agreement. ' 6
5. a)Seller's Limited Warranty, Charge ❑ b)Manufac-
turer's Warranty only ❑ Subject to Part II, para 6 and / I �" "�-�' �% �f� ' f 7
Part III, Repair Policy and Warranty Exclusions - ,
r !-ram � S
6. Subtotal: Adjusted Sale Price Y 1,, -2
7. Sales Tax (Rate %)
8. Fees TitlelLic. Filing Fees Hwy.Permits J h c
9. Insurance: HO. C.L. D.
10. TOTAL CASH SALE PRICE i c
PAYMENT — Itemization --------------
11. Down Payment,consisting of following:
a. Earnest money,cash paid ,-), 1,4:,s rSi' r =
b. Balance cash down. ? %C) 0AWS AND TIRES ARE RECYCLABLE i
c. Trade-in: gross value(See I below) AND NOT INCLUDED IN PURCHASE PRICE
d. Less: Payoff Debt (Balance Owing)
e. Net trade-in Allowance(Buyer's equity)
f.Total Down Payment (items a, b, &e) O r o / Further specifications attached ❑
12.BALANCE DUE DATE , /` ;^ r TOTAL ADJUSTMENTS
BEFORE DELIVERY Subject to Part I,3& 12. / /-"_� /-
Description Of Trade-In: Manufactured Home❑ Real Estate❑Other t 1 AutoLl E. DELIVERY
Debt to be paid by Seller ❑ Buyer ❑ 1. Proposed Delivery Date r' '4J r r <r 5
But in no event later than h,a <?Fe < cc Sr r
Debt owed to: Branch, which is the absolute delivery deadline as defined in Part II, Para.3
Year Model or Styli'' 2. Place of Delivery
Size Serial No. Address:
or addre9s
Trade-In Appliances ElSkirting ElDrapes ❑ Carpets ❑ City County State
Includes: Furniture ❑ Awnings ❑ Porches and/or Steps ❑ Park Space No.
F. ENTIRE AGREEMENT, CONTRACT PARTS:This Agreement includes L TRADE IN: If on receiving possession of the trade-in property by the
Part II, Terms and Conditions on the reverse side of this sheet and all Seller there has been a material change in its furnishings,accessories or
other written terms,conditions and understandings accepted by the par- physical condition from initial appraisal,normal wear and tear excepted,
ties as part of this transaction which are deemed to comprise a single then the Seller may make a reappraisal. Said reappraisal then deter-
contract document and constitute the entire agreement of the parties. mines the trade-in allowance.THE BUYER WARRANTS SUCH PROPER-
Each paragraph and provision of this contract and all parts hereof is TY TO BE HIS.PROPERTY, FREE AND CLEAR OF ALL LIENS AND EN-
severable; If one portion thereof is invalid the remaining portion shall, CUMBRANCES, INCLUDING PROPERTY TAXES, LICENSE FEES AND
nevertheless, remain in full force and effect. ACCOUNT SHORTAGES, EXCEPT AS OTHERWISE NOTED HERE,AND
G. PRIOR AGREEMENTS, MODIFICATIONS: This Agreement THE BUYER WARRANTS THE TOTAL AMOUNT THEREOF TO BE NO
supersedes all prior negotiations, orders, offers, agreements and GREATER THAN STATED IN THIS AGREEMENT. Neg-essary correc-
representations, either oral or written. In particular, this Agreement tions, and adjustments concerning char ges,In nqt".payoff on trade-in
totally supersedes and replaces the similar agreement of the parties shall be made at the yfTe of settlement: T 6 values a)lowed herein for
dated � =j , ( / , 19 . This trade-in may be arbitrary and may differ.twm actual faj'r market value by
Agreement may be modified or partly superseded by later written agree- mutual agreement j6r thiA,purpose of this transaction.Therefore in the
ment of the parties attached hereto and incorporated herein. event of rescission or cangellation of the sale the parties are not bound
H. FINALITY OF SALE, CONDITIONS:The sale agreed upon herein is un- by such allowance. If the trade-in consists of real estate,then details of
conditional, final and binding on the parties according to the terms the trade-in transaction and an itemization and calculation of
stated in the various parts hereof,EXCEPT FOR THE FOLLOWING CON- allowances for(same are sek forth on the attached Real Estate Trade-in
DITIONS ONLY:If(1)contemplated financing,if any,Is not obtainable by Agreement and Closing Sta�ement, which is made a part of this Agree-
any means,or if(2)the Seller is unable to deliver the property substan- ment.The Buyer agrees to deliver the original bill of sale or the title to
tially as specified,or if(3) 1 any property traded in as partial payment along with the delivery of said
then in such case only,Buyer may elect to cancel the sale and shall then property and the keys for same to Seller's premises.
be entitled to a refund of payments made and/or the net true value of the J. In the event the Buyer has not paid in full by the mutually agreed upon
trade-in received by the Seller less any direct costs Incurred by Seiler In date,the Buyer will pay the Seller interest at the Rate of 1% per month
processing this order or in applying for financing. on the unpaid Balance until payment is made in full.
K. ASSENT: 2. Offer to purchase by Buyer: ItWe agree to this sale including the
1. Acceptance by Seller: terms and conditions on the reverse side hereof and all other parts of
this document and acknowledge receipt of a copy thereof.
Salesman
Accepted ,
By. / Buyer
TITLE Buyer
Not binding on Seller untll signed by an officer or the management of
Seller. Date Signed !-
I