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Home My WebLink AboutBLD10712 Mobile Home - BLD Permit / Conditions - 6/5/1981 SOLTIS, Robert A. #10712 06-05-81 Beards Cove Div 8, Lot 110 Contractor Hunt Mobile Homes Mobile Home $17,857.53 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 `S j 426-5593 _ DATE ISSUED ^^�� PERMIT NO. /0 NAME MAIL ADDRE,�i� CITY&STATE ZIP PHONE OWNER U / 76 c DIRECTIONS TO JOB SITE LEGAL r-,C. ' A ^ 5�� , '111 SEE ATTACHED SHEET) DESCR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR USE OF BUILDING Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ 1-7 V 1 3 PLAN CHECK FEE I PERMIT F E 6 �� N , SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS_Ly TOTAL SQ. FT. GARAGE ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ ATTACHED ❑ OR AIR CONDITIONING. TOTAL SO. 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 FOR A PERIOD OF 180 DAYS AT ANY TIME 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 =HEALTHPT.OWNERS AFFIDAVITRKS 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 iss and that all work done will ROAD ACCESS be in ormance the a it MOTOR VEHICLE PERMIT 1-1 PLICA ION AC PTED BY PLANS CHECK BY APPRQqD R ISSUANCE Own r Date u( BY 07 11 N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH PLOT PLAN ADDRESS PERMIT NO. a LEGAL r `1� 4DD�ITIONDESCRIPTION LOT '' r$(;YG 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 A"'D 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' I � IF f 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 OWNER(3) OF SITE 6 3TRUCTURE(3) (PRINT) Sl NATU E F OWNER(3) O AU TH O REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE SHELTON PRINTIN3 SEATTLE•F/RST DISCLOSURE STATEMENT AND ASSIGNMENT OF INTEREST IN N,47701VAL BANK CONDITIONAL SALE CONTRACT - SECURITY AGREEMENT SIMPLE INTEREST For value received, and subject to the consent of the seller and of its assignee, I hereby assign to_._.____—__.___ _ (NEW CONTRACTOR) Whose address is r All my right, title, and interest in and to that certain conditional sale contract and security agreement between r,, ; ___ _:�►--- ----------------- and DATED 19 -._ covering purchase of the following goods or services: DESCRIPTION OF GOODS OR SERVICES _ 1. CURRENT UNPAID BALANCE OF PRINCIPAL $ 1;,?57.53 J; rial 0944 wi L �01 i iX: :rcc Recording Fee $ aft+ GitiyOaiiCa;a .rr o.,red -.)r ttr_•r_af eracqui Pod Financing Statement Filing Fees $ Others (describe in full) $ 2. TOTAL CHARGES TO BORROWER NOT PART OF FINANCE CHARGE $ 11.00 3. AMOUNT FINANCED (sum t.+s mmu si_ $ }7,857.53 Interest From _ To Maturity of Loan at_� $ 1 C, .i -- - — ----- Loan or Assignment Fee $ Out of Pocket Expense $ Other (describe in full) _ If applicable, new contractor may choose the person through L'L $ 175. which insurance is to be obtained. ;4. FINANCE CHARGE $ TO BE COMPLETED ON TRANSACTIONS NOT COVERED BY TITLE CERTIFICATES: 5. PREPAID FINANCE CHARGES $ NEW CONTRACTOR REPRESENTS AND AGREES THAT THE PRIMARY USE OF THE PROPERTY IS AND WILL BE: ❑ PERSONAL, FAMILY OR *6. FINANCE CHARGES NOT PREPAID $ {9 5 HOUSEHOLD PURPOSE ❑ BUSINESS USE ❑ FARM USE ANNUAL PERCENTAGE RATE 7. TOTAL OF PAYMENTS (sum,:2.6) $ 17 e3 7.25 These amounts are estimates because finance charges and credit life and disability insurance premiums are computed on the assumption that there are 42 days to your date of first payment and that each payment will be received on the last day of each month.Since finance charges and insurance premiums are computed on the daily balances,the total of each will vary dependent upon the actual interval to first payment and the date each payment is received.If payments are received earlier than the last day of each month, finance charges and insurance premiums will be less, resulting in a smaller final payment. If these payments are received late, additional finance charges and insurance premiums are charged resulting in a larger final payment. New contractor promise&.to pay the amount financed, plus a finance charge there on computed at the rate of 90 per annum computed on daily outstanding unpaid balance, until paid as follows: on and_ equal successive monthly installments of$ commencing on the last day of —and continuing on the last day of each month thereafter,the final payment constituting the remaining unpaid balance and accrued finance charge and other charges due,or per the following schedule: $ _ on $_ on—,----; $ — ------------- --- on $ on — $ on I hereby agree that this Assignment-shall in no way operate to relieve me from my obligations under said contract and security agreement, and I hereby agree that the time for making payments for any or all of the installments due or to become due under said contract and security agreement may be extended or the contract and security agreement in any other manner changed at the option of said assignee of the seller and without my consent and that any such extension, extensions or changes shall not relieve me from liability under such contract and security agreement. CONTRACTOR ACKNOWLEDGES THE RECEIPT OF A COPY OF THIS AGREEMENT Contractor �` ` ``� "' Address SECURITY INTEREST—This indebtedness is secured by a security interest under the Uniform Commercial Code of Washington in the goods described above and in the Proceeds thereof. The goods will secure other and future indebtedness of new contractor to Bank. Regardless of any other existing agreement with Bank, this indebtedness will not be secured except as herein indicated. PREPAYMENT CREDIT:If you prepay your contract the payoff balance will be less than the sum of the remaining unpaid installments unless prior installment payments have not been timely made.Since the finance charge is not prepaid, but computed on a daily basis no refund for unearned finance charge is due. ACCELERATION: If an installment payment is not paid when due,at the option of the Bank,all unpaid installments may be declared immediately due and payable. LATE CHARGE AND COLLECTION CHARGES:If any payment required to be made hereunder has not been made in full within 10 days of its due date,borrower agrees to pay an additional charge in the amount of 5%of the delinquent payment,or$1.00,whichever is greater.Interest on the debt if not paid at maturity shall accrue at the rate of 1%per month from maturity until paid.If borrower's delinquency requires additional collection calls or activity,a charge determined on the basis of the costs incurred and in accordance with the Bank collection schedule may be made.Such charges may include attorney fees. For and in consideration of the assignment to me of the conditional sale contract and security agreement above described I hereby agree to make the payments above set forth and further agree to comply with and be bound by each and all of the terms and conditions of said contract and security agreement, except as modified by this agreement. NEW CONTRACTOR ACKNOWLEDGES THE RECEIPT OF A COPY OF THIS ASSIGNMENT Dated 19 N t t+: ";' 'f `�✓ bux Address New Contractor _ - --- 1 hereby consent to the assignment of the interest in and to the conditional sale contract and security agreement above described and further agree that said assignment shall in no way operate to relieve me from my obligations thereunder. [.unt ) . sty I_, Dealer - ki S L- -- - -- --- We hereby consent to the assignment of the interest in and to the conditional sale contract and security agreement above described.