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HomeMy WebLinkAboutBLD0248 Final Woodstove - BLD Permit / Conditions - 1/8/1985 SQUIRE, Gordon M. #0248 12-f8-84 NW-1/4, NW-1/4 21-23-1 NE-1/4, NE-1/4 20-23-1 P. 0. Box 147 Belfair 98528 275-3730 321 NE Riverhill Drive Contractor Winslow Masonry Woodstove /132 1 C) Shorelines: Setback: Special Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior: Interior: Final: 1 e/ sT Stop Work: Mobile Home: Smoke Detector: Remarks: BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNER `N AIL A RESS TY&ST E IP _ PHONE eC DIRECTIONS TO JOB SITE 32 �� �✓ft�G/ �tI LEGAL /��// �/� / A� (❑ SEE ATTACHED SHEET) DESCR. �,(� r/5/� /Y /1' I/�/VC A, a CONTRACTOR NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE N 611�1 USE OF ' BUILDING Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: f Ck V Valuation of work: $ PLAN CHECK FEE PERMIT FEE d (� /S. SPECIAL CONDITIONS: BEDROOMS {DECKS — CARPORT [i NOTICE BATHROOMS I TOTAL SO. FT. GARAGE [] ATTACHED i_; SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT -- OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE ` DETACHED L] 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 FORA PERIOD OF 180 DAYS AT ANYTIME AFTER jo — tify that I am a currently registered contractor in WORK IS COMMENCED. State of Washington and I the aware of the FOR OFFICE USE ONLY ance requirements regulating the work for which permit is issued and all work done will be in rmance therewith. PERMANENT : SHORELINES SEASONAL I I FLOODPLAIN F E.D. NO. S.E.P.A. . B Special Approvals IN OUT YES APPROVED NO L 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 which this permit is issued and that all work done will ROAD ACCESS e in conformance therewit MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLAN HECK BY APPROVED R ISSUANCE Own e ateA_P IPLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH TO SLP 2 J AN J i . ? 1 Pmn TITLE COMPANY Statutory Warranty Deed FORM L59F L (CORPORATE FORM) THE GRANTOR Kitsap County Bank Profit Sharing Plan and Trust )necx, Re°°►e}ad for and in consideration of Fulfillment of Real Estate contract ( . .. � �`----- in hand paid, conveys and warrants to Gordon Mi chaeI Squire and Alice Joy Squire, '- 6b. husband and wife the following described real estate, situated in the County of Mason , Stale of Washington: All that portion of the Northwest quart ee, (I1-.,,j r,f the Northwest quarter (T'r )';) Of S?c tl On { nY > , rrort'h, '.anr; on. (� ) n^t , rtyonf ( _1 ) , i' i. tr.,nntvt}Zree ("'3) P Of t}1^ �r{• , � ,.}' {;'l-� i' t}T^ 1'T'7T'` 1.gt- 'T 1. `].t UU;lrt H'r' T1 ' ) t1' -Fec t:'_r)n ,, ':^�shyi,-� t (znt�?-thrnt� (.'?) :���'t•.h+ � ',,�' „� ( -) ) ' ,:.,, ,_ , . }+ .; ( _�) + -f -'r!"(.'�•'1. :Jn:� as fo7.7. I,rl�]'t;h.•(�:;t; <• tho st line of ^ :!i.d :;.cation ?]. , (>ut;n !�'>.'•�' .3�" ..,�iat 61"0.00 fect to t )(�ncoint of bor;innin�; ,)i' t;1)� t;z'r).ct of, .l ).nJ , ,r .cu7. 1 ] ,y (7 c i.bod e in the .;t; �u �,,, J of '] T+',l,t}rn,1,. i] tn)' t f j id Section <_0 r1. rt h rtlo 1 - r;'1 1 n, t • t,r (NE. I , 1 0�',01391t 21,"t 3 - 00 feet ; { 1) ' i . 'f� f/�n , ]"nc �( Uth i - � F? ; {:}l('.lT(�'�:) ;.i,)l.lt�! 'jia� 1 ;',1 '>L'ft F 1` t > ,pint o ��rult li�;14 . �_3!; fey t �^^ )1I n1r n t}!(' InSt 11t70 Ol CI.'l.l.ii i 'C{:;L(lt) c 1. whicli bc,.'l.r', ;,I -utY) 3 ,cast 3111i..00 1'eot i'n0111 the {-ru^ t)()l.nt of t,)Ar► r in the Jorthl,Test <Iu!r.rtcr (IJ'.!. ) of th(; iJc�rl;l)tiar�n ; L,innin�;, tn<Tnccr c Ii'3 oct i.on 27. o i r•uar tc,r (Ni:f'::) of, Knuth fjf3 1?17 + not 1 , o. Ill ;,net; f,11r) F N:'rth 35• feet to the b(-,,;.i.nni.n - of j cur-vo t:o f:}r'; ri ht h', ving a rtadius of '200.00 fact; t,.}► !nrn t,'n, l;�: (!t N o r h n Curve throu?}1 C^nt,,,!!1 ;'n -rl.n ,i„ ,�� )� ' ', • n })' t.rC ), ., T 7+ ,_ ; �•�r-�• A .� ^..iitf +).l'-)]Cf; I�IC)1't(l li'�'.l_,' 1 ,.�C,�1 '�h;',t; ;)�)��•l!O �" fog .h' 01.nt o.. l)o�innin , r,;c(y't.__lni {'} ' ". . rnr�cl r.i ;ht,s-n�- .�) r• fi ' )n U f- tD Kitsap County Bank Profit Sharing Plan and Trust b EXGIS` TA% �i By... _ ..................... .. . PAIn�q_..`�Q_ i-- u ee ph�trlP>+tt- ........... ... _ STATE OF WASHINGTON, T�(J5 e2 Secretary- County of Ki tsap sf' On this 26th day of September, 1980 , before 1ne, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared Arne E. Skaugset. Jr. and Gary Vennes tome known to be theTrustees -Rxesident-and SWXeta%lQspect W1Y, of Kitsap County Bank Profit Sharing Plan and Trust the corporation that executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stato that corporation. authorized to execute the said instrument and that the seal affixed is the corporate seat* eat oL•Aid 1 r} * � Witness my hand and official seal hereto affixed the day and year first above written. _1 ♦ )d 10� All ........... ...... jam_ 1 �'8��r, :J�• �+ ..........................•-. Notary Public in and for the State of Waskinp ,d 'F• residing at ;J 1 "' ,..oiq^.M`Ru#o.;i,..NMM�MwcN�IliMnMM:.�aapa•M... loop Miff; We IS