HomeMy WebLinkAboutBLD1827 SFR and Quit Claim Deed - BLD Permit / Conditions - 5/7/1975 Van Dusen, Eddie C. #1827
5-7-75
Riverhill , Belfair
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Residence
$30,000.00
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BUILDING PERMIT APPLICATION
MASON COUNTY /2.320 lDO3z�
P. O. Box 400 Shelton, Washinqton 98584
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DATE -f 1712,57
D
PERMIT NO. / ! A
Applicant to complete numbered spaces only. a
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JOB ADDR ESS
LEGAL n/ ' �ffSEE ATTACHED SHEET)
1 DE SCR. (T✓%
OWNER MAIL ADDRESS ZIP PHONE
z
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3 ,Fd z -
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4 5' /
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7 (
eS/ 14.6e e-
8 Class of work: NEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑MOVE ❑ REMOVE
9 Describe work:
CG<� Ale W C, S
10 Change of use from
Change of use to
11 Valuation of work: $
f G GLi(J PLAN CHECK FEE O� PERMIT FEE I---' 7
SPECIAL CONDITIONS: Type of Occupancy
Const. Group Division
Size of Bldg. O R No.of Max.
(Total)Sq. Ft.�� U Stories Occ. Load /0
Fire _ Use Fire Sprinklers
APPLICATION ACCEPTED BY. PLANS CHECKED BY APPROVED FOR ISSUANCE BY. Zone Zone Required ❑Yes ❑No
No. of OFFSTREET PARKING SPACES:
k ;' "-e Dwelling Units Covered Uncovered
N 0 T I C E Special Approvals Required Received Not Required
ZONINC.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEALTH DEPT. ✓ `
HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION FIRE DEPT.
AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC- OTHER (Scetify)
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
I hereby certify that I have read and examined this application and
know the same to be true and correct. All provisions of laws and
ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any other state or
local law regulating construction or the performance of construction.
SIGNATURE OF CONTRACT R R AUTHORIZED A ENT /(DATE)
SIGNATURE )F OWNE IF OWNER BUILDER ATE
/PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1/ SH ELTON PRINTING CO. l
- ♦
TITLE I1� S RANCE s SPACE R.ci°RVcD FOR RcCOVOE''S US; REEL 2 l �P- PrF/�
A-MOR COMPANY
Filed for Record at Request of
TO Mr. Merrill Lallace
lttorney at Law_
304 'Medical-Dental Building
Bremerton , 11'ashin-ton 98310
FORM L 56 R
Quit Claim Deed
-38357
TRE GRANT01 S EDDIE C. VAN' DUSEN and SUSAN VAN DUSEN,
husband and wife
for and in consideration of partition of the following described property
convey and quit claim to H. J. BRABANT and LOUISE BRABANT,
husband and wife
the following described real estate, situated in the County of Mason
State of Washington including any interest tze_en which grantor may hereafter acquire:
The south half of the following described property:
j,
t� A tract of land partly in the west half of the northwest quarter"
of Section 21, Township 23 North, Range 1 West, W.M. , and partly—-
in the east half of the northeast quarter of Section 20, Township
23 North, Range 1 West, W.M. , particularly described as follows :
Commencing at the northwest corner of said Section 21; thence !
south 0°29' 39" east along the west line of said section 994 feet
to the point of beginning of the tract of land hereby described;
thence north 88'12125" west 454.86 feet; thence south 0029 ' 39"
east 344 feet; thence south 88012' 25" east 635 feet; thence north
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