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\ CITY OF PORT TOWNSEND
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��a )EVELOPMENT SERVICES DEPARTMENT
-;- _ �, �` INSPECTION REPORT
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WA 0 360-385-2294 BY 3:00pm TtlE DAY BEFORE YOU
Z a° 'ONDAY INSPECTION,CALL BY 3:00PM FRIDAY.
DATE Oj Q U aERMIT NUMBER: C— (J-7�
SITE At
CONTAI �— PHONE:
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❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re-inspection before
��to&
check at next inspection proceeding.
( CInspector (°� I l� Date Z
Acknowledgement Date
Approved plans and permit card must be on-site and available at time of inspection. ,4 re-inspection fee may
be assessed if work is not ready for inspection.
1
De vt.jpment Services
QORT TO
of k _250 Madison Street:Sulte 3 ;
y
Port Townsend WA 98368
Phone: 360-379-5095
f J r ` Fax: 360 344 4619_
`� cJ Un ' �Ir
www.cityo.fpt.us
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Residential Building Permit Application
Project Addre s: Legal Description (or Tax Office Use On1Y
n ✓'� Addition. w/1 P Permit Number
Zoning: 9.;T_ Block:
Parcel # �(�� — �� Lot(s): Associated Per
Project Descriptio
> Applications by mail must include a check for initial plan review fee of$150 for projects valued over$15,000.
See Page 2 for details on plan submittal requirements.
Lender Information:
Lender information must be provided for projects
Property Owner/Applicant: over$5,000 in valuation per RCW 19.27.095.
Name:
Name:
Address:
City/St/Zip: Project Valuation: $
Phone: Building Information (square feet):
Email: 1 s'floor Garage:
2"d floor Deck(s):
Contact/RepresenWye: �, i � 3`d floor Porch(es):
Name: CCCC :ed-f7/) �f
Basement: Is it finished? Yes No
Address:
City/St/Zip: Carport: Other:
Ot
Phone: �� �� — �U Manufactured Home P- ADU ❑
Email: New Addition ❑ Remodel/Repair❑
Contractor: ❑ Same as Owner Total Lot Coverage (Building Footprint):*
Name: Square feet: %
Address: Impervious Surface:*
City/St/Zip: Square feet: *Total existing&proposed
Phone:
Email: What year was the structure built?
State License #: Exp: If work includes demolition, see Page 2.
City Business License #: Any known wetlands on the property? Y N
Any steep slopes (>15%)? Y N
I hereby certify that the information provided is correct, that I am either the owner or authorized to act on behalf of the owner
and that all activities associated with this permit will be in accordance with State Laws and the Port Townsend Municipal Code.
Print Name:
Signature: Date:
Page 1 of 2 4/16/2009
I FILED
2 2M APR 20 AN 8: 55
3 IN SUPERIOR COURT
JEFFERSON COUNTY CLERK
4
5
6
7
8 IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON
FOR JEFFERSON COUNTY
9
In the Matter of the Estate of
10 ) NO. 09 4 00045 6
OLIVE YOUNG,
11 )
LETTERS TESTAMENTARY
12 Deceased. )
13
STATE OF WASHINGTON )
14 ) ss
15 COUNTY OF JEFFERSON )
16 WHEREAS, the Last Will and Testament of Olive Young, deceased, was on this
date duly exhibited, proven and recorded in-our said Superior Court, a copy of which is
17 hereby annexed, and whereas it appears in and by said Will that Kathy J. Haig is
18 appointed Executrix/Personal Representative thereof and whereas said Kathy J. Haig has
duly qualified,
19
NOW THEREFORE, know all men by these presents, that we do hereby
20 authorize the said Kathy J. Haig, Executrix/Personal Representative, to execute said Will
21 according to law.
22 WITNESS my hand and the seal of said Court, this. ak day of April,
A.D.,2009.
23 Ruth Gordon, Superior Court Clerk
24
25 by
Deputy Clerk
26 KErrH C. HALER
Attorney at raw WSBA 10742
27 1206 Water St.Suite B
P.O.Box 104
2g Port Townsend,WA 98368
LETTERS TESTAMENTARY 360/385-6400
JPION-cR NATIONAL L 'EVeM°e STA. 's
TM E INSURANCE rtrK sywCt t n Y[ttStSrri usi:
AncoR comp^NY
pfOflifg I1.1T1017d1 flILL �-Z.IQALIrn Cl
Filed for Record at Request of
JP.ti 1.fl ,Phi 2 • '`i6 - $ f
AFTER RECORDING MAIL TOt I:.�, ^I �'�u"'saass aaattaarr
HAROLD D. YOUNG J' ;;liiT
OLIVE YOUNG 9T - EPUTY
1 3 1 1 G I SE STREET orrns tunttsa r Q' r
PORT TOWNSEND, WA 98368 Y
`b
a.ro.urrs a ass
263081
Fo.. LSB
Statutory Warranty Deed
THE GRANTOR TOWNE POINT, A PARTNERSHIP
r
:�L t
3Ll ev.0 for and in consideration of TEN DOLLARS AND OTHER VALUABLE CONSIDERATIONS r
in hand paid, conveys and warrants to HAROLD D. YOUNG AND OLIVE YOUNG, HIS WIFE t
/ the following described real estate,situated in the County of JEFFERSON State of
7Y Washington:
-_� LOT 61, TOWNE POINT, AS PER PLAT THEREOF RECORDED IN VOLUME 6
OF PLATS, PAGE 39, RECORDS OF JEFFERSON COUNTY, WASHINGTON.
SUBJECT TO THOSE CERTAIN COVENANTS, CONDITIONS, RESTRICTIONS, EASEMENTS
AND PROVISIONS FOR THE LEVY OF ASSESSMENTS AND PENALTIES CONTAINED IN
DECLARATION OF PROTECTIVE RESTRICTIONS, DATED JULY 20, 1977 AND
RECORDED SEPTMBER 14, 1978, UNDER AUDITOR'S FILE NO. 252691 .
_ U
~ a 16TH day of JANUARY 1980 �
(SEAL)
STATE OF WASHINGTON.
ss.
County of JEFFERSON
On this day personally appeared before me ROBERT F. SAHL I , AUTHORIZED SIGNATORY FOR
Th4E PART�IEf�SH�� .�F TqV Eb�QiNT
to me nown to t e t tvt ual a!x t e n and'who executed the within and foregoinginstr(imerf[ nd
acknowledged that HE signed the same as HIS free and voluntary act and deed, for the
uses and purposes therein mentioned.
GIVEN under my hand and official seal this /� day of JANUARY, 1980
C 0-� )VhRJ
t`� Notary Public in and for the State of Warkin`toa,
Vvi 2J .. 49 residing at �?&tn(lC P�J�� LC)luzA-eAl��t
IPACIFIC NORTHWEST BANK, MERGED NATIONAL
SEATTLE,WA INTO ASSOCIATION On 04/24/2004
clril IV I
STATE OF WASHINGTON m0 NOT Use)
10.ID DUa IH IV?a, MOTOR VEHICLE ]I wr.IIs1..D ND VAL UA hON IAe No JJ nuNc lEE
1 3 3 S 3 3 6 CERTIFICATE OF TITLE cfNSE PAIf Ho E=clsE TAA --
THIS TITLE IS EVIDENCE OF LEGAL OWNERSHIP
al� 3 N� Q PA NT 8R%S24 Y1Y� " SASIC I(E r N F. Sane„ AlE6 Np FEf C ASS B 0"' ra NRGI.Stf C061 J AP9 AYp
FEE m Om
aE.E.f0 A A At NEW REGISTERED OWNER ILASi NAVE rIRST7 Af0 CVWLEHT ADonE ss _CDDE TITLE NO.
uo. DAY - x p
a SP.IEE Q
NEV 8002402746 s v,
FLEET/EOUIP.NO. i[xE wT
m m
OLD otHEa rE[ m a '
a s
R rn a
» m -�
21P CODE ITI .
4 YOUNG ,H A R O L D D NEW LEGAL OWNER DSE iA% N
O o ;
YOUNG OLIVE mm
E LOT 61
' E TOWNE POINT SUBDIV PSNA TfEE cli
_
N o PORT TOWNSEND WA 98368 r
101K LEES A.IO T. m 3
m c
w R DATE JD rL zIP CODE u m
OMA S SMTDKST N VE/MCL[
v N I S L A r�b S A V / LOAN A S S N 2L-% REPORT o< aAlc I (WE) CERT►Y TIMT Im ..OI..ATON COHTA.ED NEaEDN p WIWECT. AUOITpT3 STAuv Z a .
w THE VEwGLE IS CLEM a tf.ClAlaAfICE3 "CErt M S.IOPM. A.FT REOL rAo SALFS TALI IIl.S 0EB1 z T
2101 WASHINGTON COLLECTED.
a A PORT TOWNSEND WA 98368 W� °""�"° °""'�"`""` z rm
p ¢ L NEAV LA USED ,I =
2 Oo pEALErtb AU'H ZED ) y y
W WELLS FARGO BANK NA FKA D""°`5 E c ;
N SLAND SAVINGS A "
,AND LOAN ASSOCIATION
o R j ArC`"cuun µoic�`o.EE�`tiEn, r aH corrtA EEO HEnEDR a IMAKITS RE O X
W TO Of 3
u t TVR a RELEASES INTEREST N VEHICLE �llOEG , y
own n OT TOTAL Ff E ►
I CERTIFY THAT THE RECORDS a THE DfRMiuEM O!LICENSING ?" /- `� � _ (OIV(iITLF MIEN IIOWH¢!0R(,pypy.ryl SLOSCMIsED µD$W I TO"EIORE ALE THIS
SHOW PE RSCH$NAAIEO HEREON AS AEGISTMO A.O LEGAL CRANE RS ( 7 ¢,RECId1
Of THE VEHICLE of SC RIDCD DEP ARTUE NT P Ic.-I.IO OAY Of I(
O uII EAOE a[Aq IS NOI APY PUBIiC t)A LICENSE AGENT NO.
SELLER MUST PRINT PURCHASER'S NAPE AND SHOW ODOMETER READING sLH vwn LOw tL1RE ANp TITLE
1'
Ur ( y'VL(Zf
k)a CP t-)
RETURN ADDRESS
MANUFACTURED HOME
APPLICATION TITLE ELIMINATION
ICEnsm; ❑TRANSFER IN LOCATION
Anyone who knowingly makes a false statement of a material fact is guilty ❑REMOVAL FROM REAL PROPERTY
of a felony, and upon conviction may be punished by a fine, imprisonment,or both. (RCW 46,12.210)
MANUFACTURED HOME
TPO/PLATE NUMBER YEAR M E LENGTHANIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(YIN)
8 c 3 lq7 �Mxm� b X z�/ Mc syAl�
LAND LEGAL DESCRIPTION ON PAGE c
REAL PRO T TAX PARCEL NUMBER
MANUFACTURED HOME WILL BE X AFFIXED ❑ REMOVED /00 6/
LOT BLOCK PLAT NAME OR ECTION/TOWNSHIP/RANGE QUARTER/QUARTER SECTION
GRANTOR(S) REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE
.�y COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS
NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER
�_4 QC4ll ( dPc<'e '2c�
NAME OF ADDITIONAL REGISTERFD OWNER DOL CUSTOMER ACCOUNT NUMBER
�>�i'�ou.,c c3 C pc�cccr�'Pc✓J
ADDRESS CITY , �TATE ZIP CODE
zO Z`j (/c�c1Lr„4 rrt/�2uP /I.Q o/u l
NAME OF LEGAL OWNER OOL CUSTOMER ACCOUNT NUMBER
NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER
ADDRESS CITY STATE ZIP CODE
GRANTEE
NAME
k,,4-7A
I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I/WE AM/ARE THE REGISTERED OWNER(S)OF THIS
VEHICLE AND THIS INFORMATION IS ACCURATE:
Signature of Registered Owner and Title, IF APPLICABLE ) �
Signature of Additional Registered Owner and Title, IF APPLICABLE
NXMI C / NOTARIZATION/CERTIFICATION FOR REGISTERED OWNER(S)SIGNATURE
State of Washington Signed or attested /�2rG Z� 24
i '-/
County of aelhA 6'7D b fore on
�O T A.
y_ //��s� �p/5"y
� C� Sign atur
S if/p��g008= y PRINT/- N n o EGIS�RE owNER NOTARY e-hHEfFT
o
L I G�� �Oby �O/<vp yc awj'��cr ,1a�/
PRINT NAME OF REGISTERED OWNER PRINTED NAME OF NOTARY
Counry/ONico No.OR
TitleDEALERSHIP POSITION/AGENT/NOTARY AND: Notary Dealer Expiration Date 22ZZQOo
TITLE COMPANY CERTIFICATION ,4-
I certify that the legal description of the land and ownership is true and correct per the real property records.
NAME(TYPED OR PRINTED) TITLE COMPANY/PHONE NUMBER
SIGNATURE/POSITION DATE
Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs.
! BUILDING PERMIT OFFICE CERTIFICATION
ertify that: the manufactured home has been affixed to the real property as described.
❑ a building permit has been issued for this purpose and the attachment will be inspected upon completion.
N (TYPED O BLDG PERMIT OFFICE/PHONE a BLDG PERMIT a
� ��r,� 360 31?9 - so 9s1
SIC URE POSI D TE
• ��
TD•420.729 MANUF HOME APPI.l /2/02)OR(W) .1 0 2
MANUFACTURED HOME - FROM SECTION 1
TPO/PLATENUMBER YEAR MAKE LENGTH/WIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VIN)
7-
Z44MG s"
SIGNATURE OF LEGAL OWNER
/ SIGNATURE OF LEGAL OWNER IN ICATES CONSENT FOR ELIMINATION OF TITLE / REMOVAL FROM REAL PROPERTY.
Signature of Legal Owner and Title, IF APPLICABLE
Signature of Additional Legal Owner and Title, IF APPLICABLE
NOTARY SEAL OR STAMP NOTARIZATION/CERTIFICATION FOR LEGAL OWNER(S)SIGNATURE
State of Washington Signed or attested
County of _ before me on _
by Signature
PRINT NAME OF LEGAL OWNER NOTARY OR AGENT
by PRINT NAME OF LEGAL OWNER PRINTED NAME OF NOTARY
County/Office No.OR
Title AND: Dealer No.OR
DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date
LAND DESCRIPTION (A legal description of the land can be obtained from the local County Assessor's Office)
• DEALER'S REPORT OF SALE �—
I CERTIFY THAT THIS INFORMATION IS CORRECT.THE VEHICLE IS CLEAR OF ENCUMBRANCES EXCEPT AS SHOWN.
ANY REQUIRED SALES TAX HAS BEEN COLLECTED.
DEALER NAME(TYPED OR PRINTED) WA DEALER NUMBER DATE OF SALE
PURCHASE PRICE TAX JURISDICTION/TAX RATE DEALER'S AUTHORIZED SIGNATURE
❑ USE TAX EXEMPT Sale to a Certified Tribal member on the reservation (attach notarize alp "I'llgj f delivery).
COUNTY AUDITOR/AGENT LICENSING OFFICE APPROVAL: (Not for use by Subagents)
I certify that the above application appears to have been completed correctly,and the applicant has su.t6timp d90CMLMHtjp pf'4�eed
with the recording of this form. ) :•
NAME(TYPED OR PRINTED) COUNTY OFFICE/VFS.DPERA MBER
a't:r7S\ds\fit . .,
SIGNATURE .DA
itil TITLE FEES
FILING FEE APPLICATION MOBILE HOME FEE ELIMINATION FEE USE TAX ;SUBAGENT FEES
TOTAL FEES 8 TAX
IMPORTANT: Once the application has been approved by the County Auditor/Vehicle
Licensing Office, take your application form to the County Recording Office.
Retain proof of the recording fees paid. If the Recording Office retains
your original application form, obtain a certified copy of the recorded form.
APPLICANTS: Once recorded, you must return to a Vehicle Licensing office to file the
Manufactured Home Application, paying all required fees. Vehicle
licensing subagents charge a service fee.
For full instructions on completing this form for Title Elimination, Removal from Real Property or
Transfer in Location, see form TD-420-730, Manufactured Home Application Instructions.
The Department of Licensing has a policy of providing equal access to its services.
If you need special accommodation, please cal(360) 902-3600 or TTY(360) 664-8885,
TD-420-729 MANUF HOME APPL(R/2/02)OR(W)Page 2 of 2
l
OF PORT TOY
ym
u o Receipt Number: 69-.�0368� 4.-1.1',
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�� s✓�t` 4,�+r+��r`9q�� rv; ter _ "' � � fi4' €t � r � �' s F.��fi�`�ra"""�?'t�1 �s lu... '!� � _.�sc � ^max � f% � � �` �,k
BLD09-072 999100061 STAFF TIME FOR ANY PERMIT WORK $50.00 $50.00 $0.00
Total: $50.00
f"��� s�i`k '3' `_"- S-�3�aT �sL, x"" may, 3- Y"� ,�°•3�s`' �a��y���4`T.'��c"�s°^`�, � - �,
Receipt# ece�pt Date _ Fee Descr�pt�on nountPa�d, J' P�ermtt#=�
Payment,' Check Payment
MethodrNumber Amount
CHECK 21576 $50.00
Total: $50.00
genpmtrreceipts Page 1 of 1