HomeMy WebLinkAboutBLD8059 Mobile Home - BLD Permit / Conditions - 7/2/1975 Johnson, Willie E. #8059
7-2-75
.E2 of,NWµ, 29-23-1
Mobile Home
BUILDING PERMIT APPLICATION
MASON COUNTY
P. O. Box 400 Shelton, Washinqton 98584
DATE_ '2->
m D
PERMIT N0.
Applicant to complete numbered spaces only. "e,5_
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JOB ADDR ESS u
LEGAL
1 DESCR. SEE ATTACHED SHEET)
Ow7R / MAIL ADDRESS ZIP PHONE
2 1 � ) y _
roc
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS
BRANCH
6
USE OF BUILDING
7 ✓'
I
8 Class of work: XNEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑MOVE ❑ REMOVE
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9 Describe work: '
J bb Cave- oe
10 Change of use from
Change of use to
11 Valuation of work: $
I SOO • PLAN CHECK FEE — PERMIT FEE
SPECIAL CONDITIONS:
Type of Occupancy
Const. /� Group Division
Size of Bldg. No. of / Max.
(Total) Sq. Ft. Stories Occ. Load
Fire Use Fire Sprinklers
WCATION ACCEPTED BV: PLANS CHECKED B� APPROVED FOR ISSUANCE BV. Zone .J Zone Required ❑yes ONO,
h� �./ �.s No. of OFFSTREET PARKING SPACES:
bL -et_-ft0 7� Dwelling Units Covered Uncovered
N 0 T I C E Special Approvals Required Received Not Required
ZONING.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, f HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. v'
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.
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 CONTRACTOR OR AUTHORIZED AGENT (DATE)
/SI GNAT'
RE OF OWNER IF OwNE BUILDER DA E)
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
L `+FICLTO.Y pRI,YTI.+:G CO. Y ,
SAFECO� TITLE INSURANCE COMPANY THIS SPACE RESERVED FOR RECORDER'S USE
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1109 SECOND AVENUE - SEATTLE, �VASHINGTON 98101 6230870
Filed for Record at Request of
Willie & Alene Johnson
NAME
ADDRESS Rt, 2, Box 3327
CITY AND STATE Belfair, Wash. 98528
PARTIAL Warranty Fulfillment Dee
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I
THE GRANTORS, ROBERT JOSEPH EIGNER and K YOKO EIGNER, husband and
wife,
for and inconsideration of partial fulfillment of real estate contract,
in hand paid, conveys and warrants to WILLIE JOHNSON and ALENE (aka ELT-A) JOHNSON,
husband and wife,
the following described real estate, situated in the county of Mason , State of
Washington:
A tract of land in the East half of the Northwest quarter of
Section 29, Township 23 North, Range 1 West, W.M. , in Mason
County, Washington, particularly described as follows :
Beginning at a point on the West line of the East half of
the Northwest quarter of said Section 29, 1,000 feet North AFFID VIT
of the Southwest corner thereof; thence North along said West;Q------A5
REAL
line 200 feet; thence due East to the public road; thence �NEXC SE TAX ESTATE
Southerly along the Westerly edge of said public road to a
point due East of the point of beginning; thence due West
to the point of beginning; MAY-2 8 19
75
Situate in Mason County, Washington.
partial 8. COL
This deed is given in/Fulfillment of that certain real estate contract between the parties hereto, 4W, mason County
February 28 , 19 75 , and conditioned for the conveyance of the above
described property, and the covenants of warranty herein contained shall not apply to any title, interest or
encumbrance arising by, through or under the purchaser in said contract, and shall not apply to any taxes,
assessments or other charges levied, assessed or becoming due subsequent to the date of said contract.
Excise tax paid on March 1, 1974 under Mason County Treasurer's
Receipt No. 38654.
Dated this 27th day of May, 1975.
SEAL
STATE OF WASHINGTON,
County of
On this day personally appeared eared before me ROBERT JOSEPH EIGNER .an . y0,:0 BEIGNER,
y
husband and wife,
to me known to be the individualsdescribed in and who executed the within and foreg01ng?instrument, and
acknowledged that they signed the same as their free• and voluntary act and deed, for the
uses and purposes therein mentioned.
GIVEN under my hand and official seal this day of 724e4z-'' 1975.
Notary Public ` and for the State of lrlashington,
residing at
t_-2 R 2 1/74 O tAFFCO i.:w—C.,. -d