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HomeMy WebLinkAboutBLD10361 Final Mobile Home - BLD Permit / Conditions - 5/19/1981 GOVERNALE, Rose Mary #10361 0_4=08-81 Ro_y-Bo.ad-Rd-._,_T.urn_up-B.oad_.Rd.-Ap-pr_ox.__60.0 t on-lef-t from Old Belfair Hiway and North Shore Rd. __ __2.9-23-1— Contractor -Yoest Mo1i-ile Home Mobile Home ��10-1-60.0-._OD � 5 .. 'N�. i- I � _. BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 � // DATE ISSUED r/L /�iP�,z / . /�f � 2 PERMIT N O. OWNER NAME MAIL ADDRESS CITY A STATE 9 ZIP PHONE Sisr� DIRECTIONS TO JOB SITE , i? Rel 51, 7 . f O t 0d 0,61 A LEGAL (❑ SEE ATTACHED SHEET) DESCR. C o CJ i I /�/ c7 e NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR es /1i� i j� USE OF BUILDING feJ�C���jJ�'� Class of work: EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: l*bI go&e ele FIFO Valuation of work: $ / PLAN CHECK FEE PERMIT F$ SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT❑ NOTICE BATHROOMS TOTAL SQ. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑ 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 I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I the aware of the FOR OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT ❑ SHORELINES ❑ SEASONAL ❑ FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED'NO Lic. No. 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 of the Mason County ordinance requirements for BUILDING DEPT. which this permit is issued and that all work done will ROAD ACCESS b/ei�in�connfor/m�ance�n`tth'erewithh. �� MOTOR VEHICLE PERMIT Owner ✓` )7-M - -"`�`-�Uate. APP CAT j ACCEPTED BY PLANS CHECK BY APPROVED FORU��� �i P AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH O RM 100 ® Y®EST HOPOES, INC. PURCHASE. - 206/373.9544 P.00.box 41,3&55 lYe4 Ffigh"y 26 _ AGREEMENT - , U C C 4 2-201 'GMT'VMS!fIk;TON 98337'� RA - NE: 177 - i ZWE v:ADDRESS:rirti ;t:• i' !? t: '2'�r :COUNTY:rL+i'..TE•?t `{.a' If I' _:: _ _.:: :"''=�`l '• = 'i...th ,i:-� v.. 9 aLG- '.:Lt' )SALESMAN' SUDIEC�}TO THE AND CONDI710N5 {IT(f_SIDES OF_TNIS AGREEMENT kLLER'AGREES:TO SELL+AND 7FIE PURCHASER AGREES--TO PURCHASE OWING DESCRIBED PROPERTYr :MAKE.+_ �fr. .,-:..e1 :,' .,�.,..&.:<e 11e a: 1, *Fi7:J:4i'-4... _: DEL•,,.,, _ -F_f. .c..` pp�j • _ - '_ " R_E' t r_`.B..ROOMS AP.ROX: STOCK NUMBERS 47 'tSt iii tli. s it9i7}¢c' 1 �1 �+ ~Z :e^� t:-[_J( rat,. ?fsi,q i If:lr ,_T^ t, 1.��Xygiy ayp} 4 S NUMBER COLOR �. P�ROPPSEQ —'-' "'"— ~KEY NUMBERS irk. rrYft i 3Wj LIVERY DATE )l39,rC.,�y�c ti Ale,, ❑ USED, ~ }.9 e l t 3 4`u6Ct 4 f GAS CUSTOMER MAY CHOOSE PERSON FROM-WHICH INSURANCE IS OBTAINED.: PRICE OF UNIT $ ©D ✓INSURANCE COVERAGE ]; ,~ ;r?� NUMBER OPTIONAL EQUIPMENT )7r r: a: NO.COVERAGES"EXCEPT AS SHOWN BrELOW OF MONTHS COST OF SET-UP PARTS - ❑ FIREAND.THEFT.— CAC.;' 't' ..r 'F. ,,d,- V,: ,'? ,III' `4i.•A-1: FIRE AND THEFT—COMPREHENSIVE: tf` ?.:,'Jr t: SUB-TOTAL a 3t'U7 i rlf P RSONAL•EFFEC-TS' .i:_- r: MOBILE HOMEOW,IVER;S ,`'i;::: , Its. 3 ry,.,. . _t. SALES TAX IF NO _ n•- INCLUDED BELOW IN(4e) ;, r•I•--:vv ❑ Other insurance(Describe)T-,T,1-.ir, Si: . ' r.1 . NON-TAXABLE ITEMS -•i;"a.;I TOTAL PREMIUM to, —in$.........- on tL. r.m,nnalqu aL.et.In. .om.r th...e .........................tis..B.....:.::.::...s..: . . ..,...........�a $ .. FEES IF NOT INCLUDED BELOW IN(41f)• . ._ . _ .. Please purchase the coverages checked,above _''� ] :�T.- - 'L, , y I.CASH PRICE,,,-,; -- -,�.,, i:L $. SI❑NED Xr; SIGNS X' 7, TRADE-IN:,- .. 'ie'. f . •� 'ALLOWANCEt' ls, $ LESS;BAL.DUE-.,It; _++• _s,:::::}Uv.ct` ON ABOVE A NEi WAN Purchaser h •ase as rchased•re•.•ire in ,r•}u required nce throw ❑ - p r' q g _2 1:.d�-i. CASH DOWN iILAs;I:.,nr PAYMENT - d (!AGENT'S ) - -�„o:t,ti- •CASH AS AGREED. :a• - i_ c•�,j _ SEE"RE (AGENT'sAODREss) _' : 2.LESS TOTALCREDITS. 3.UNPAID BALANCE OF CASH SALE PRICE `' Is:3''1`i if, ELT (NAME OF INSURANCE COMPANY : THIS IS NOT A TRUTH-IN-LENDING-ACT DISCLOSURE FORM INSURANCE AGAINST LIABILITY FOR BODILY INJURY OR PROPERTY? '• - ;in_'i_` - - ,( r •a : +-' 4.OTHER CHARGES'' o DAMAGE TO OTHERS IS NOT INCLUDED IN THIS TRANSACTION. a.Official Fees(Specify) :-. . $ I`''''tr� `' L• f° '� ='Lti•rfTy1'T • _` .y "= . .OPTIONAL EQUIPMENT,LABOR AND ACCESSORIES'- :. '_,i - VSI::: - :-ot •b.'In;urance on Commodilp..:r..�_ $ J 1•}'.t_�!G..�S?;�:.�� -- *' S - CUSTOMER WILL 8E RESPONSIBLE FOR ALL SITE PREP, - � t _ - .aLL• ;; ARATlON COST AND F�iTRAORDINARY EXPENSES 3TICUR— _ - ;'. .. ` c.Credit Life Insurance $ - - ru RED IN PLACWENT•OF-HOME&. �t �I '; - - ,{'_".}4 x' . -dr Credil AccidentB Health`._ �$ 'r' -�L.;�yS�•l tir�S' T .,.;a ; •,:, -r r= •r r s e.'Taaes INoI ncl.abo e) s• $ �,,:�_ .F. License Fees•P ORegist.Fees $ _- 'ITolall'• - --_ . . . 'I '�c• - �cCertif-ofz '-ir}^ -^7; - }�-' r'y'•`i--+P. ,r'~ _ C/� _ _Title Fees- $ - -- - $• __ a_�' __ � ,7i..r.7 SiW';�:':LrV :.._., : ,. ;T�..,_r,�:iiQi3•.:{!P-��t; . - TOTAL OTHER CHARGES la+`b•�+d�+�i�+fJ. =.•$:•,'" -- 5,UNPAID BAL.—AMOUNTFINANCE D (3.+,4J._•$° --� " • - - - - - {L?.ii_. ••..�FJI.._iie...• _ - �.- . i. yam, } ,_,.�.,/ .•saw 6r.FINANCE'CHARGE-::,:. - fTC-�J:• - _ .,'•� :�: •,_•- -= :L.r+ '� ;" �'-� .��,;; -___ r;-- 7,ANNU „• '; EN AGE RATE AL PERC T ° : 8.TOTAL OF_rAYMENTS(5+,}6),-:,. Before signing this•soles agreement I acknowledge'_ `''``" 9.TOTAL DEFERRED PAYMENT PRICE 1t�+6 :"t. Ci"'fir`"• ' 9 9 9 ( ) $,: receipt of a copy Of the warranty'for.the prOC1UCf5 Payable in - monthly-installments of each I am buying from you_ and one fi of installment of s "` all payable the like dale .3.(•.`•' :'cC..,� _,,_,:v' ..� - -- -I ;5�:: .n1V:a-r 1 , of each'successiye month commencing t 19 Signed _ 5. i, a• ,',a ,,,, ,.•..._ ,^ _ _ t: ::r J r:.. _�. •- _ Buyer - ;�,; i -•- IT IS MUTUALLY UNDERSTOOD THAT THIS AGREEMENT IS SUBJECT TO NECES- BALANCE CARRIED TO OPTIONAL EQUIPMENT'' $ ".'--• SARY CORRECTIONS, AND ADJUSTMENTS CONCERNING CHANGES IN NET DESCRIPTION OF TRADE-IN _ YEAR SIZE PAYOFF ON TRADE-IN TO BE MADE AT THE TIME OF SETTLEMENT: '-• MANE MODEL. - BEDROOMS ...,.. - SOCIAL SECURITY 'TITLE NO SERIwI NO. COLOR_ '^ '-�•• •� '-_ AMOUNT OWING TO WHOM SOCIAL - • _ ,.._ SECURITY TRADE-IN DEBT TO BE PAID BY—. 0 DEALER O CUSTOMER [-•;r. The undersi ned certifythat the matter printed on the back hereof is agreed to as a art of this a reement,the some as if it were rinted above the si na- tures;that undersigned is o statutory age or as been legally emancipated; t at the purchase of the above described trailer,mob'I or vehicle;the op- tional equipment and accessories thereon,the insurance as described has been voluntary; that the property being traded in is free from all encumbrances whatsoever,except as noted herein.The undersigned agrees each parogroph and provision of this contract is severable;if one portion thereof is invalid the re- maining portion shall,nevertheless,remain'in full force and effect.. __ _ I 'OR EREBY ACKNOWLEDGE RECEIPT OF A'COPY-OF THIS ORDER All ~ rt2.A_C� � 2I�i i=. r.l:y -:7` r:f:• '; ` " f DEALER`-.,__._StiGN .. - - .�-t ° '�+ PURCHASER No V. nl s igne and ccepiedlby an Officer,of the Company„ _ _ - :ra `s1!d'-_ :ri..o• .,T;h r.to?•.^,'L:. By SIGNED X PURCHASER Approv ,Sub ct to acceptance of financing by bank or finance company.y. . ' - --• - 1 r ~° PLOT PLAN 1 , ADDRESS . 'zLe, �f [/ii `Jr2 PERMIT NO. c a o LEGAL .^ O�/I DESCRIPTION LOT BLK ADDITION u SITE AREA Sq.Ft. 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- TION ARID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' 3 / I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. NAME(S) OF OWNERS) OF SITE & STRUCTURE(S) (PRINT) IGNATURE OF OWNERS) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE I6H ELTON PrtiNT�NG ',Dtare vi :he following described real estate,situated in the County u( Mason i Washington: fjt ' Wii NA All that portion of,the Northeast Quarter of the Southeast quarter of ,�•�, �F ,#.,��,, 5ko Section 29, Township 23 North, Range I West, W,M. lying northerly of the county road known as Roy Boad Road, EXCEPT the Following described s tract: t east '? BEGINNING at the intersection of the North line of. the said �lor h easterly right-or-way of t quarter of the Southeast quarter and the he Old Bremerton Highway; thence East, along the North line of the said �;�,, ty quartet of the Southeast quarter 570 feet; thence S 00" 52' j��t � { Northeast quay parallel with the West line of the said Northeast quarter o: the Southeast �� i w, f d,•Y� r. , cvarter, IOI feet, more or less, to the northerly right- feet, of the Roy Bead Road; thence westerly along the northerly right-of-way of Said z1� +t,��qt�;CAi •.. Roy t3oat'. Road 575 -feet, more or less, to the easterly right-oE-way o_ said +1�{., ,1�.;,� �u Old Bremerton Highway; thence N 00*52' W, along the said easterly right c. �1;a tidj t Ali +_ or of the Old Bremerton Highway, I45 feet, more or less, to POINT ON h':� ;• . r 1•�:•,jc j t a BEGINNING, EXCEPT public roads. �• far�[�' t ��