HomeMy WebLinkAboutBLD14718 Remodel - BLD Permit / Conditions - 10/6/1983 1
BUILDING PERMIT APPLICATION '''` Y
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
tl J4 + G DATE ISSUED L/ p
!� � ri PERMIT NO. �Z` 71
OWNS / NAM i u ��ADDRESS E /O� �/ CITY&ST / Z��0�3 PHONE
DIRECTIONS 1
TO JOB SITE z-Cd I />G 'Y/ ,-esf / f-f y f 64/ 2 6 0 Itivy3
LEGAL. NEE ATTACHED SHEET) If
DESCR
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR (� ,L
USE OF �/ 1-1-4
/,,
BUILDING
fir
C.. /1/17•e.I-Q Uh,U r Q
Class of work: ❑ NEW ❑ ADDITION VC
ALTERATION ❑ EPAIR ❑ MOVE ❑ RE OVE
Describe work: -/ -
IV
O/? IV4 k/ Tier
Valuation of work: $ PLAN CHECK FEE /� PERMIT FEE 3g
SPECIAL CONDITIONS: O 2 _ r / v _
el
BEDROOMS___ - {DECKS — ARP RT [1 NOTICE
BATHROOMS I TOTAL SO. FT. GARAGE I
ATTACHED I.I SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT I; OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE DETACHED I_i
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 i_i SHORELINES
SEASONAL I ) FLOODPLAIN i l
Firm E.D. NO. S.E.P.A. i
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT EALTH
PUBLIC WORKS
certify that I am exempt from the requirements of the FIRE MARSH lj
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for UILDING DEPT,
which this permit is issued and that all work done will ROAD ACCESS
o nce therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR IS UANCE
e _ Date . o? /D�
10,
d
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT V'XtIDATION CK. M.O. CASH
of
AFTER RECORDING NAIL TO:
Unieed Savings & Loan Association
601 South Jackson
Seattle, Wa. 98104
our loan #51004292
FORM L-64 R
Deed and Seller's Assignment of Real Estate Contract '
THE GRANTOR BELFAIR ASSEMBLY OF GOD, INC. , A Washington Corporation
for value received convey and quit claims
to
SECHI M. IMAMURA and SHARLEEN IMAMURA, husband and wife , the grantee,
the following described real estate, situated in the County of Mason
State of Washington including any interest therein which grantor may hereafter acquire:
Parcel 1: The North 25 feet of Tract 7, Sam B. Theler's Home & Garden Tracts, according
to the recorded plat thereof in the office of the Auditor for Mason County, Washington,
Volume 4 of Plats, page 20. Excepting therefrom the East 200 feet thereof.
Parcel 2: A tract of land in the Southwest corner of Tract 5, Sam B. Theler's Home
& Garden Tracts, according to the recorded plat thereof in the office of the Auditor
for Mason County, Washington, Volume 4 of Plats, page 20, particularly described as
follows: Commencing at the East 1/16th corner between Sections 29 and 32, Township
23 North, Range 1 West, W.M. , in Mason County, Washington; thece South 795.23 feet to
the Southeast corner of said Tract 5, thence West 760.2 feet to the Point of Beginning
of the tract of land hereby described, thence West 150 feet, more or less, to the
Southeasterly right of way line of State Route No. 3 (Navy Yard Highway) ; thence North
220440' East along said right of way line of Highway, 108.37 feet; thence East 108.23
r�ad'rthgnceoPuth 100 feet, more or less, to the Point of Beginning. Excepting therefrom
and do hereby assign, transfer and set over to the grantee that certain real estate contract dated the 24th day of
April, 1978 BELFAIR ASSEMBLY OF GOD INC. A Washington Corporation
between , oration g p
as seller and EARL L. MCMINN and VENNITA L. MCMINN, husband and wife
as purchaser for the sale and purchase of the above described real estate. The grantee hereby assume and
agree to fulfill die conditions of said real estate contract and the grantor hereby covenant that there is
now unpaid on the principal of said contract the sum of THIRTY THREE THOUSAND NINE HUNDRED FIVE AND
73/100 DOLLARS
Dated this 5th day of August 83 SEMBLY OF GOD,
tC
T:e. s dv TiS em ly1of
t � '
y . . - ( ��
�dwar oshier, Secre a of e t�ai l Assembly
rrATV nr WArUMCM)N. l of God, Inc.
CORPORATl:
STATE OF WASHINGTON. l
ss.