HomeMy WebLinkAboutBLD7018 Mobile Home - BLD Permit / Conditions - 8/14/1980 Sande, A. R. #7018
Div. 8, Lot 1029 Beard's Cove
1 mile west of Belfair on No. Shore Road - Site is on
Twain Lane
Mobile Home
$15,000.00
BUILDING PERMIT APPLICATION
i MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 Q_✓,�/�
DATE ISSUED
PERMIT NO.
OWNER NA MAI DDRESS CI &STATE ZIP PHONE
�
DIRECTIONS
TO JOB SITE /Q Q vv�t
LEGAL (❑ SEE ATTACHED HE
DESCR.
Gtr.1 c
CONTRACTOR NAME AIL AD ESS CITY k STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work: W ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
G)vL
L U
Valuation of work: $ „o PLAN CHECK FEE PERMIT FEE
,S v O — �
SPECIAL CONDITIONS:
e is A
AeY
36
BEDROOMS DECKS CARPORT [i NOTICE
BATHROOMS TOTAL SO. FT. GARAGE []
ATTACHED ij SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT.ffO6 FIREPLACE ❑ DETACHED I I
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 i , SHORELINES I
SEASONAL [ ' FLOODPLAIN I J
Firm E.D. NO. S.E.P.A. i
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
DEPT.
OWNERS AFFIDAVIT HEALTH DEPT '
PUBLIC WORKS 6d O �
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 issued and that all work done will ROA CCESS
be in conformance the�;L-Dateja::�ei/--06/
MO R HIC R T
ON ACCEP E Y PLANS CHECK BY PPR VIED FO UANCEOwner 1, BYcte�A
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION t CK. M.O. CAS
rORM I UUJ V YOUT 110ME$, WC.
RETAIL 2451373•S.;44
BUYERS ORDER P.0.Box 41,3555 V.:�t Hig'vway 16
UCC) 2-201 GOFcSTa W..-,;fINEGTON 98 7
PHONE:
SOLD 10 AT
ADDRESS Z• V N SALESMAN
SUBJECT TO THE TERMS AND CONDITIONS STATED ON BOTH SIDES OF THIS AGREEMENT SELLER AGREES TO SELL AND THE PURCHASER AGREES TO PURCHASE E LOWING DESCRRIED PROPERTY:
MAKE / •. - MODE � B.ROOMS A PROX: STOCK NUMBERS
K Z p W
SERIAL NUMBER NEW COLOR PROPOSED KEY NUMBERS
❑ USED DELIVERY DATE J f r
CUSTOMER MAY CHOOSE PERSON FROM WHICH I N S U ANt I BTAINED. !/PRICE OF UNIT $
INSURANCE COVERAGE NUMBER OPTIONAL EQUIPMENT
NO COVERAGES EXCEPT AS SHOWN BELOW OF MONTHS $ COST OF SET-UP PARTS
❑ FIRE AND THEFT — CAC
FIRE AND THEFT— COMPREHENSIVE SUB-TOTAL
❑ PERSONAL EFFECTS
❑ OT
MOBILE HOMEOWNER'S -INCLUDED LBELOW INES TAX IF r(del
❑ Other insurance (Describe) NON-TAXABLE ITEMS
TOTAL re1M1UM Bar Insuranu Eay.ro aE en the
saran.duylthbf.1—dirsmarthraver..uar......................................................o is FEES IF NOT INCLUDED BELOW IN 14f1
❑Please purchase the coverages checked above. I.CASH PRICE $ 00
RADE-IN
SIGNED X SIGNEDX A OWANCE $
LESS:BAL.DUE t
ON ABOVE
❑Purchaser has purchased required insurance through: NET ALLOW AN
CASH E
DOW Oro
Ni" ��-�-.E.�
PAYMENT
r^) CASH AS AGREED
�^ `f Y SEE"REMARKS' $ �r..A
(AGENT'S ADDRESS) 2.LESS TOTAL CREDITS -
(NAME OF INSURANCE COMPANY) 3.UNPAID BALANCE OF CASH SALE PRICE 1$
THIS IS NOT A TRUTH-IN-LENDING-ACT DISCLOSURE FORM
INSURANCE AGAINST LIABILITY FOR BODILY INJURY OR PROPERTY 4.OTHER CHARGES
DAMAGE TO OTHERS IS NOT INCLUDED IN THIS TRANSACTION.
a.Official Fees(Specify) $
OPTIONAL EQUIPMENT,LABOR AND ACCESSORIES VSI $
CUST0*NER WILL eE_ r:t ra{,riELt` Fc:3 ALL SITE . ziL
O 1 P s !� 1n 'fir_ 1C str+• b.Insurance on Commodity. . . . $
A.,.ATiCNI GGST AND G.,.' ?A1 ..GIHARY IXt..USES
c.Credit Life Insurance. . . . . . $
RED 114 PLACETnEEItiT OF H41A S.
d.Credit Accident6 Health. . . . $
e.Taxes(Not incl.above). . . . . $
I. License Fees$
f jpf of}I
.L3 Regist.Fees $
G,
C F e $ $
8 Titltlee Fees,
03A-if,' TOTAL OTHER CHARGES(a+.b+c+d+e+f) . . $
S.UNPAID BAL.—AMOUNT FINANCED (3+ 4). .$
6.FINANCE CHARGE . . . . . . . . . .$
].ANNUAL PERCENTAGE RATE %
• 8.TOTAL OF PAYMENTS(S+ 6) . . . . . . . . . . $
9.TOTAL DEFERRED PAYMENT PRICE(I+4+6) ....... $
REMARKS: Payable in monthly installments of $ each
Title to the within described unit passes and one final installment of$ all payable the like date
as of the date of signing of the retail
installment or security agreement by of each successive month commencing 19
the purchasers even though physical
delivery may not be mode until a
later dote.
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 EAR .iZE PAYOFF ON TRADE-IN TO BE MADE AT THE TIME OF SETTLEMENT.
"ARE MODEL sED.00Me
'.LE No 1[JbAI NO colas
SOCIAL SECURITY
A.rouNT OWING TO wna.r SOCIAL SECURITY
TRADE-IN DEBT TO BE PAID BY O DEALER = CUSTOMER
The undersigned certif that the matter printed on the back hereof is agreed to as a art of this a reemenI the some as if it were rinted above the si na-
tures;that un ersigne is o statutory age or as been legally emancipated; that the purchase o t e above described trailer,mobilehome 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 paragraph 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 WE �F_ �EOG 'Ei F A COPY OF THIS ORDER
YO ST I-OMES, INC. DEALER SIGNEDX PURCHASER
NottVal nle s gned andl4ccepted by an Officer of the Company
8v SIGNED X ��'JU ) PURCHASER