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Home My WebLink AboutBLD1627 MFG Home - BLD Permit / Conditions - 3/19/1975 Haugen, David L. #1627 Star Route 1 , Box 260 3-19-75 Belfair, Wa. 98528 SW4s NW4, 21-23-1 (Riverhill - Newkirk Road) Modular Home $19,500.00 3�2//7 3 ��-� • 7`f f-1 UG-�N —i i r .ai 'r-., BUILDING PERMIT APPLICATION MASON COUNTY P. O. Box 400 Shelton, Washinqton 98584 DATE m PERMIT Applicant to complete numbered spaces only. u JOB ADOR ESS M F , LEGAL / (DEISEE ATTACHED SHEET) 1 DESCR. T'C` n OWNER MAIL ADDRESS ZIP PHONE CO�CTOA_ -� MAIL DR S P,(IONE LICENSE NO. ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 Fall, fr Lc r' ENGIN EE MAIL ADDRESS Pik ONE LICENSE NO. 5 LENDER MAIL ADDRESS BRANCH 6 USE OF BUILDING 1 � i 8 Class of work: X'NEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑MOVE ❑ REMOVE 9 Describe work: 0 10 Change of use from— Change of use to — ( / 11 Valuation of work: $rjlc d 11 o ht ,1(;BtIn s fa l��'ti 3 1 PLAN CHECK FEE g PERMIT FEES SPECIAL CONDITIONS: Type of Occupancy Const. Group Division Size of Bldg. No.of Max. (Total)Sq. Ft. Stories Occ. Load Fire Use Fire Sprinklers APPLI ATOON ACCEPTED BY PLAN HERE KK APPROVED FOR ISSUANCE BY. Zone Zone Required ❑Yes ❑No •/1� No.of OFFSTREET PARKING SPACES: � Dwelling Units Covered Uncovered N 0 T I•C E ,Special Approvals Required Received Not Required ZONINC. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. Q THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION FIRE DEPT. AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC- OTHER (Specify) 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. SIGNAT RE OF CON TRACTO R AUTHORIZED ENT (DATE) IGNA RE OF OWN R IF O ER DER DATE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH SHELTON PRINTING CO. PLOT PLAN ADDRESS /tl��,/��-� t-al. PERMIT NO. 11 D A O O LEGAL n DESCRIPTION LOT BLK ADDITION y*r 1 SITE AREA 1 F '3t t. AREA OF SITE OCCUPIED BY BUILDINGS _Sq. Ft. 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- L TION A"'D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL fact SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-0," TION THEREOF. INDICATE NORTH IN CI LE - GRAPH SQUARES ARE 5' X 5' OR 1"=20 r v a Q S `y t1l a I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without 4 16 p a first obtaining approval. y } v _ � o M O NAME(S) OF OWNER(SI OF SITE & STRUCTURE(S) (PRINT) ��.-,•,t SI a / RE OF OWNER(S) R AUTHO Z D REPRESENTATIVE DO NOT WRITE BELOW-4-Li—NE APPROVED �. DISTRICT AS NOTED DATE `_3 F RETURN TO . - MAsom REc-IC2I+IAi.. PLI:ANNING COUNCIL c.:, sssir:ox 400 MESSAGE DATE 3 / � / J REPLY DATE 3 / 20 / 75 FROM _ Nc:l en Hanson David liaugen Star Rt. 1, Pox 260 gelfai Washington 98522 ilar,jory called on "onday to say the site Sty'; OF FAP4 OF Sec. 21, Twn 22Pi, R 1 W,WM approval for David L. Naunen (modular hom at * $2�� !3eifair) had bean approved but displaced and The abbye site inspection is she ;could send another copy. We haven't re- APPROVED, ceived It. Also could W. have a Xerox of Ron 5 Angus' situ annroval for a residence at Belfair? We had this one "ut it mysteriously disappeared! Thanks. SIGNED SIGNED Redif?rm* 4S 473 SEND PARTS I AND 3 WITH CARBON INTACT- PART 3 WILL BE RETURNED WITH REPLY. �• 8A> coo REAL ESTATE CONTRACT TITLF. (FORM A-19641 THIS CONTRACT.made and entered into this 15th day of October, 1974 between HARRY M. DAVIS and JU!,NITA C. DAVIS, husband and wife hereinafter called the"seller."and DAVID L. HAUGE-N and :10INNA E. HAUGE N, husband and wife hereinafter called the"purchaser." WITNESSETH: That the seller agrees to sell to the purchaser and the purchaser agrees to purchase from the seller the followinq described real estate, with the appurtenances, in 1%lason County.State of Washinqton: X That part of the Southwest quarter of the Northwest quarter of Section 21, Township 23 North., Range 1 West, W.M. , in Mason County, Washington, described as follows: BEGINNING at the Northwest quarter of said Section 21; thence along the West line of said Section 21, South 00° 29 ' 39" East 2506.73 feet to the Test quarter section corner of said Section 21; thence along the existing centerline of Newkirk Road South 88° 14 ' 00" East 180.14 feet; thence North 000 29 ' 39" West 530 .36 feet to the true point of beginning; thence South 88* 14 ' 00" East 458 .73 feet to a point which bears North 880 14 ' 00" West 20.15 feet from the North- west corner of Lot 4 of the Plat of Riverhill, as per plat thereof recorded in Volume 8 of Plats, page 30, records of Mason County, Washington; thence along a line lying 20.00 feet West of and parallel with the Westerly boundary of said plat (as measured at right angles to said boundary) North 050 11' 02" West 203 .08 feet; thence continuing along said parallel line North 110 44 ' 51" East 38.82 feet; thence North 88" 14 ' 00" West 450.34 feet; thence South 00' 29 ' 39" East 240.00 feet to the true point of beginning. EXCEPT the West 245 .00 feet, as measured along the North line thereof of said tract of land. TOGETHER WITH and SUBJECT TO a nonexclusive easement for ingress , egress and for the installation and maintenance of utility lines over, under and across a strip of land 60. 00 feet in width lying within the `Test one-half of the Northwest quarter of Section 21, Township 23 North, Range 1 West, W.M. , in Mason County, Washington; the said 60 .00 foot strip *of land begins at the Northerly margin of Newkirk Road and extends North and East to terminate in a cul-de-sac having a radius of 50 .00 feet which cul-de-sac is included in said easement, the centerline of said easement is described as follows: BEGINNING at the Northwest corner of said Section 21; thence along the West line of said Section 21 South 00' 29 ' 39" East 2506 .73 feet to the West quarter section corner of said Section 21; thence along the existing centerline of Newkirk Road South 88' 14 ' 00" East 180 .14 feet; thence North 000 29 ' 39" West 20. 02 feet to a point on the North- erly margin of Newkirk Road being the true point of beginning of said centerline; thence North 00° 29 ' 39" West 1628 . 48 feet to the beginning of a curve to the right having a radius of 200. 00 feet; thence 322 .14 feet along the arc of said curve through a central angle 92' 17 ' 14" ; thence South 88' 12 ' 25" East 606 .74 feet to the center of said cul- de-sac and the terminus of said centerline. TOGETHER WITH and SUBJECT TO a nonexcl��sive easement for ingress , egress and utility purposes over and across a strip of land 30 . 00 feet in width 15 feet on each side of the following described centerline: BEGINNING at the Northwest corner of said Section 21; thence along the West line of said Section 21 South 00' 29 ' 30" East 2506 .73 feet to the West quarter section corner of said Section 21; thence along the existing centerline of Newkirk Road South 88' 14 ' 00" East 120. 14 feet; thence North 001 29 ' 39" West 530. 36 feet to the true point of beginning of this described line; thence South 88' 14 ' 00" East 458 .73 feet and the erminus of this described line. r y.a y.. r v .. . rrrJ.o r rr rr iu Nay, error ,syr neo av rrro no U4tI IJOyrr a,Vltl prlLC:Nitri tfrC tClrrrJ tfICICVI dflU UP017 Cleraufr,- . the purchaser s all" ave ithe right to mace any payments necessary to remove the default, and any payments so made shall be applied to the payments next falling due the seller under this contract. `^a SAFECO 1:.;.rn Co pe y of A.x is ,g--d tr a,,!- ark oun^r. TL-46 R1 1/74 PRINTED IN U.S.A.