HomeMy WebLinkAboutBLD9302 Addition - BLD Permit / Conditions - 5/10/1976 Jensen, Eddie #9302
5-10-76
NW;l, SEV, NEEB N 1001 , & S2,
SW4i NE4s 17-23-1
Enlarge and enclose porch
$250.00
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1 - BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
PERMIT NO.
OWNER N M MAIL AD ESS_' CITYMATE
z'P PHONE
DIRECTIONS ply C/
TO JOB SITE
LEGAL SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ADDITION ❑ ALTERATION REPAIR G MOVE ❑ REMOVE
Describ work: r
Valuation of work: $ �.5-0 PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY, PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
Const. Group j
�j-
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D. NUMBER
I certify that I am a currently registered contractor in RESIDENCE
the State of Washington and I am aware of the MOBILE HOME
ordinance requirements regulating the work for which
the permit is issued and all work done will be in Special Approvals Required Received Not Required
conformance therewith. ZONING
HEALTH DEPT.
Firm PUBLIC WORKS
ROAD DEPT.
By
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of the Mason County ordinance requirements for VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owne A
Date �� WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ( CASH
rn
WARRANTY
' II 3 H '56
S , (STATUTORY FORM) I ,p q+ O a
i �x OR PROPERTY WITHIN THE STATE F W 8_H17; T�' 1 pa
3 i
i MASON CD
` l N U► TY AUDITOR
"PUTY
The grantors ALBERT .L. BLANKENSHIP, also known a s A. L. BLANKENSHIP
and CLARA D. BLANKENSHIP, husband and wife ,
of the city of Bremerton , county of Kit sap,,- State of Washington,
for and in consideration of TEN and no/100
and other valuable consideration, ($ -10.00 ) dollars,
in hand paid, convey and warrant to EDDIE JENSEN and .MARTHA EMILY J Eli S Eli
,
husband and wife;,'
the following described real estate, situate in the county of Ma s' n ' state'of Washington:
The I11' -1�4�0#-- 1�a tSE=- f 4�of--tha aNE•3 vrth-.100 e-et--?-g-K-�-
of the South 1/2 of the SE quarter of the 'N-E` quarter; all in
Section 17, Township 23 North, Range 1 Viest , W. M. ALSO all
that . portion of the following described tract of land lying
Westerly of the old Belfair-Bremerton_ Highway extending through
the following described tract of land to-wit:
A strip of land 110 feet North and South and 300 feet East and
Test , lying and being in the immediate Northwest corner of the
following described land, to-wit:
The South half (S2) of the Southwest quarter of the Northwest
quarter of -the Northwest quarter (S1J4 of NEa of N17-14) , of
Section 16f, Township 23 North-, Range 1 West , W. M. subject to
conditions contain-13 in the original instrument from which private
title stems. -
- WASH. REAL ESTATE EXCISE TAX
OCT 5 '79513
CH.180,LAWS Of WS urYYai •Vw Y' 11`IYYaIOeu� = V <' �-
j TREASURER, MASON COUNTY.
subject to
Z� �,'y�ated�this 26th day of August, 19AO
NJ t7 I
AL
.�
STATE OF WASHINGTON
�ss.
I, the undersigned, a notary public in and .for the state of Washington, hereby certify that on 'this
26th day of Augu st, 1949 personally appeared before me
T._ RT.AVTrTMTauT D o-A rT A V A T) DT A%TTrrnTnT.-