HomeMy WebLinkAboutBLD1994-00800_-------
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ElIV:4710F iWeISHINGTON RECORDER'S CLOCK
cEnsinc MANUFACTURED HOME APPLICATION
TITLE OPTIONS
Original Reissue TITLE ELIMINATION(Complete all but motion 3.below)
Transfer
TRANSFER M LOCATION(Complete ALL motions baba)
Duplioate
REMOVAL FROM REAL PROPEFITY(Complete all but section 4.below) .
NWORDED AT
WORST OP:
1 ANURIFACTURED'NOW
VIM . ..-awas.:::**:-:*: :Kmx:::K.:AilumnanimaMEMIWNSIDEIDENIIPICAMONMUINSIDIDIUM:::W::•::**N'n.::8:01ER 8 1.1::::..• ::...:':::;;':••:• , COLOR 02
I Cil(01 STAT1--- 70,1 e;t4 I SIA)Li EI •AS 53/c) TOP OR
FRONT: I 11 R0NI1701/OR
E COLOR:
2
• Attach a copy of the legal description of your land. It can be obtained from your County Assessor's office.
• Land to which the manufactured home is being:0 AFFIXED D REMOVED IMP."Talg NAM"MI..
5711 0",,D- ual
3 . TME COMPANY CERTFICAT7ON
I certify that the legal description of the land and ownership are true and correct. ,
sum .. .• •...•,..%.,:::.?::Fr:%R?;:::.:: ::M:*:*IFELESSAIPART/PROGILIMISGINI ., JININATURIAMO:: ::i::•.: ::E.:-:::.•::••••••••:::1:•:.....::•i::::.••.: • DATE ,
X .
NOTE: Application must be finalized with a Wowing Agent whine 10 othndar deye of the date signed by the Title Company Representadve.
rl WADING PERAIIT OR7CE CERTIRCATION
u-' I certify that the manufactured home has been affixed to the real property as described, or the ram 71' etrn
following bulldi mit has been ,L. ad for th•• L • •se and will be inspected upon completion. l' •? -o
suan..:: ...,...,.::cerm, •••:,m..: -. u...,ZiL •:•:romm$5'•:.=':-•, z•-,•:,0•'*:v KWAKM::::::•-:•':•*..quansmenT simsnapsenn mum Dm
ncia--. I X .el f - 4 37q--114156 iih 6/44
0 ii EiFORMA770N aFEES
. a COLNTY a I eic 171C6INUMEER OF 111 NI* OPrl provide the Depmment of Licensing IDOL) nu"Pri
El STEREO OWNERS LEGAL WADERs NSW"NUMBER"for each owner:
• /4 NAME OF FRET REGISTERED WAINER APPLICATION
e•EL---r_i_ON -04-1)./ 6- iiiiiiiiiiI
G E OF SECOND RESISTWW WAINER I
I WW1 HOME RES
• s IIIIIIIIIJI
T ADDRESS OF FEIST REGISTERED WAINER This"NUMBER"may be found on
(LA /9 0 paE._ mi Li_ P-6 yaw Washington Drivers License/ ELSAINATION
i OTY . STATE OPCOD( I.D.Card—OR—If the owner ie•
u 312-1NM04 (Der /0 33.D business.provide the UnMed
USE TAX I
NAME OF RAU LEGAL CINNER• business identlfier0.1111)number.
1 1 1 1 1 1 1 1 1 1 1 I
I MAILING ADDRESS OF MIT LEGAL CINDER SUS-AGENT FEES
E More than two registered or
c, I
A MY STATE CODE one bpi owner? .. .
i Please use attachment forms TOTAL FEES&TAX
NEGNATURE OP 1110AL OWNER INDICATES CONSENT FOR 'DATE IT'D-420-732)
ELIMINATION Of TmE X $ I
Anyone who knowingly makes a false statement of a msterlal fact Is gulty DEALER'S REPORT OF SALE PURCHASE POOL
of a Many,and upon conviction may be pwished by aline of up to S5.000 $
andior 10 years knprlsonment fRCW4111.12.2101.IDOSOLEIMILY ATTEST I certify that this Information Is
UNDER PENALTY OF PERJURY LAW THAT UWE ARE THE REGISTERED correct. The vehicle Is cur of TAX AMISDICTIONTAX RATE
OWNERS OF IS VEHICLE AND THIS INF•. . IS ACCURATE: encumbrances except as shown.
• Meal
i•afriiiiiii ..ab ".-,. _ rabIALINVIAll ff:]: .:.'•..::MiK.,::1.::,..:::i.'::',::k.•:.::.'•'.::i:....a:::.:'7-1/ATE OP SALE
/
WADIAIlagg::::DENIRVAITIAORiZEOSHINATURE.:- :'. •
,
X . X '
NOT • CALIONOEROSIT la - Submind ind a to Enos Ms Tirn Ololdr•In USE TAX EXEMPT srs t•main an es
X ,,,...- 0 • Dar af 2, U is' . . Pasavalin WWII noterind INSOMMI Of dolveryl
AV.—.V 44. •••• O a ..11....
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COUNTY AUDffOR/AGENT LICENSIVO°MIX APPROVAL:riot for ms•by Sub-Agency) -
I certify that the above application appears to have been completed correctly, and the applicant
has sufficient documentation to proceed with the recording of this form.
•NAME...........:.:•••••:-U::•::]4.WM.M•ai:Ne.M.M4V.,A::: 68088AynrAg::•:&52.MS.' . . .0pmaxxos npulATm‘swum fumy
X I •
7 . RECORDING OFFICE •
This form has been recorded In the county records. • • .
atconowe.maaint: .:.... -coupere..:.:.::::.i.:....:.:.: .:. kooLumEipAGE1 DATE TD-420-7211 MANUF HOME APM.14/71e3)OR Pawl I d 2 ..
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ties/c T) �: , u Iry r
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903 E. Caroline OLYT PIC HEALTH DISTRICT Permit No. J 7 c)0
Port Angeles SEWAGE DISPOSAL FERMIT APPLICATION
Submit in Duplicate Builder
Court House
Port Townsend / 9 4 O 9m A._ y.e (ti.e to S (( e /7/
0WNER (St i, , 41 f� C f? ADDRESS S ram,: -F I f/4 I yg i1 PHONE .g— <Z.f J
DIRECTIONS FOR LOCATING SITE I0 it-e--ily Z.yc--s p 1 y4',4 A.--eS i i a h•t
" / 4 -i" / -3 1 l�',.f ��( , Sty, t�r.t v<'.,`E �*
APPLICATION 4 H EBY MADE TO: INSTALL ND' SYSTEM REPAIR EXISTING SYSTEM
11,E h�1 J/o E "'re-. 13 A a tz t- h,4 u. QQ-e J�
P E OF BUILDING NO. OF B`_MROOI',S BASE:ENT I SITE SIZEI NrkTI OF INSTALLER
DRAINFIELD LENGTH ! ` 6 'WIDTH Z. DEPTH ' #LINTS 4 SEPTIC TANK SIZE /U d d
DRAT./ A DETAILED PLOT PLAN BELOI•'. SEE INSTRUCTIONS. SOIL TYPE � "w
`+-\tom
14/Ir 'e/? fed— •5 PA'1 J f I _5-# ' 4//ti . or-7JTA-illir-/e4V
C:,-„,.., ov43,, ,,,, : \ Ci`,-_R„ \\ \w`i r..,fN \Cr,14%.
N. C.:\----‘
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66\:''' '
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.zap\\\c r'4.'4*w"\
,51 \ 2,.., i
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ANY CHANGE IN BUILDING OR SE'AGE DISPOSAL FLANS, LOCATION OR SITE, INVALIDATES THIS
PERMIT UNLESS PRIOR APPROVAL OETAINE D FROM THE HEALTH DEPARTMENT.
DATE OF INSTALLATION SIGNATURE OF APPLICANT -,jA4 ,/`
154* FD ✓ DATE S1/4 hi INSPECTED BY � t' J/ � l
.SANITARIAI'.'S COU"J1TS: ���' r dT C
I CuRTIFY THAT THIS F'P ':A IFS 'LLED INgHE MANNER APPROVED BY THE
HEALTH DEAPRT iN 'T � / '1- '✓� „e— — DATE
INS TA~ NA viE
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