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HomeMy WebLinkAboutBLD0095 Final Mobile Home - BLD Permit / Conditions - 11/22/1983 WALKER, Jim P. #0'095 11-1-83 9-23-2, SE4,NE4 Blacksmith Drive off of Dewatto Road Contractor So. Hill Mobile Mobile Home $17,094.00 Shorelines: Setback: Special Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior : Interior: Final: Stop Work: Mobile Home: Smoke Detector : Remarks: 1 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. V© 1�5 OWNER E MAIL ADDRESS CITY 8 STATE ZIP PHONE r 0 DIRECTIONS TO JOB SITE LEGAL (❑ SEE ATTACHED SHEET) DESCR NAME MAIL ADDR SS CITY 8 STATE LICENSE NO. PHONE CONTRACTOR ' ++ USE OF BUILDING tin Class of work: - NEW ❑ AdbITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ 0(1 � 0 PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: BEDROOMS _ I DECKS CARPORT LI NOTICE BATHROOMS TOTAL SO. FT. GARAGE fJ ATTACHED I. SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT L; OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE L', 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 L SHORELINES I SEASONAL [ ] FLOODPLAIN i i 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 be in conformance therewith. MOTOR VEHICLE PERMIT 4 ' G i APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner `' � Date . 0/ BY PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH I PLOT PLAN ADDRESS PERMIT NO. i o n > a o LEGAL DESCRIPTION LOT BILK 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 Al"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. 0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' y _ v 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(S) OF SITE & STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED / / ..-- DISTRICT AS NOTED DATE l l 6H ELTON PnN-1Ni 49405 MASON COUNTY TITLE INSURANCE CO!IPANY EXHIBIT A iii ! •��J� fk .J %:) That portion of the southeast quarter of the northeast quarter of Section9 , Township 23 North, Range 2 West W.M. , described / as follows: C0:L'1ENCING at the northwest corner of the southeast quarter of the northeast quarter of said Section 9 , thence South 02°14 ' 32" East along the west line of said subdivision 620 . 25 feet to the True Point of Beginning; thence continuing South 02°14 ' 32" East along said nest line 310. 13 feet; thence South 87°35 ' 24 " East 752 . 54 feet; thence North 02° " 17 38 (•,.st 371 . 47 feet;.- o . thenc e . t i 87 41 23 V.'est 752 • 45 e... feet to the True Point ri (:;.ts-c,f--•��}' lr:o ?: �� nt of f3ec7tnning, r�co.,,'.• n n Tr ,wt 20 of `;urv(•y in �'ol �:.:c 7 of Sl:r : } , . �� 11 :�...�r �,t:aitc)r ' s E'i 1c and SUF3JECT TO a perpetual non-exclusive easement, LO 1c of in width, as shown on survey recorded in Volume 7 of Surveys, page 17, under Auditor 's File No. 379318; and described in instrument recorded August 6, 1981 , under Auditor's File No. 394035. TOGETHER WITH a perpetual, non-exclusive easement, 60 feet in width, over and across the S� of the SE'�, of SE;, Section 3, and the N� of Section 10, all in Township 23 North, Range 2 West, W.ii. , all as shown on survey recorded in Volume 5 of Surveys, page 138, under Auditor 's File No. 368714 and described in instrument recorded October 26, 1979, under Auditor's File No. 369021. TOGETHER WITH a perpetual, non-exclusive easement, 60 feet in width, for road and utility purposes over and across the N� of the SE; of the SE, of ;. Section 3, and the NE' of the SEQ of Section 10, all in Township 23 North, Range 2 I•,est, W.M. , as described in recorded J:pril 5, 1978 , under Auditor 's File No. 342277. Said easement providing access from the Bear Creek- Dewatto County Road No. 7980 to the North line of the S� of the SE; of the SE;, said Section 3. SUBJECT TO utility easement to P.U.D. • Bell Telephone Co. , Auditor's File No. 1J363660nd pacific Northwest � I