1992, 06-15 No Permit MemoFrom The Desk Of
LJEFF FORRY
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Manufactured Home:
1981 Goldenwest 14
Year Make Width
Vehicle Identification Number GW140RECA6285
Registered Owners:
Names Miehael R. Manos Signatures'
Legal Owners: Loan No. 00104023000413560
Washington Mutual Savings Bank
Names Signatures'
Length 70
,
'SIGNATURES OF OWNERS INDICATE TERMINATION OF INTEREST IN THE MANUFACTURED HOME THROUGH TITLE PROVIDED f1Y CHAVtFH 46.12 RCW AND
INDICATE INTENT TO PERFECT INTEREST IN THE MANUFACTURED HOME AS REAL PROPERTY WITH THE LAND HE/SIZE/THEN OWN ANN TO WHICH IT 15/15
BEING AFFIXED.
Land to Which Manufactured Home is Being Affixed:
Property Tax Parcel Number 55082.0504
Legal Description Lot 4 in Block 4 of BARKER ROAD MOBILE HOMES, as per plat
thereof recorded in Volume 9 of Plats, page 48;
Owners' Names Michael R. Manos Signatures2
'SIGNATURES OF OWNERS INDICATE CONSENT TO HAVE THE MANUFACTURED HOME ADDED TO THE REAL PROPERTY LISTED ABOVE.
Building Permit Office Certification:
I certify that the manufactured home has been affixed to the real property as described above and/or building permit
number has been issued for the purpose of affixing the manufactured home to the land and will be
inspected upon completion.
NAME
SIGNATURE BLDG PERMIT OFFICE
DATE
PHONE NUMBER
County Auditor/Agent Licensing Office Approval: (Not for use by subagents)
I certify that the above application appears to have been completed correctly, and that the applicant has sufficient
documentation to proceed with the recording of this form.
NAME
SIGNATURE OFFICE/CAAP OPERATOR NUMIII II
DATE
Recording Office:
I certify that this form has been recorded in the county records.
NAME SIGNATURE COUNTY DATE
TECORDING NUMBER
Note: Every person who falsifies or intentionally omits material information required in alt affidavit is guilty of a gross
misdemeanor punishable in accordance with RCW 9A.20.021.
TD -420-730 MFG HOME TITLE ELIM IN/1/901 Page 2 of 2
Manufactured Home:
Year 1981
Make Goldenwest Width 24 Length 52
Vehicle Identification Number GW 14 0 RECA6 2 8 5
Registered Owners:
Names Michael R. Manos Signatures'
Legal Owners: Loan No. 00104023000413560
Names Washington Mutual Savings Bankignatures'
'SIGNATURES OF OWNERS INDICATE TERMINATION OF INTEREST IN THE MANUFACTURED HOME THROUGH TITLE PROVIDED BY CHAPTER 46.12 RCW AND
INDICATE INTENT TO PERFECT INTEREST IN THE MANUFACTURED HOME AS REAL PROPERTY WITH THE LAND HE/SHE/THEY OWN AND TO WHICH IT IS/IS
BEING AFFIXED.
Land to Which Manufactured Home is Being Affixed:
Property Tax Parcel Number 55082.0504
Legal Description Lot 4 in Block 4 of BARKER ROAD MOBILE HOMES, as per plat
thereof recorded in Volume 9 of Plats, page 48;
Owners' Names Michael R. Manos Signatures2
'SIGNATURES OF OWNERS INDICATE CONSENT TO HAVE THE MANUFACTURED HOME ADDED TO THE REAL PROPERTY LISTED ABOVE.
Building Permit Office Certification:
I certify that the man factured home has been affixed to the real property as described above and/or building permit
number 035 ' 4441 has been issued for the purpose of affixing the manufactured home to the land and will be
inspected upon completion.
2,ff)0
SIGNAT RE
i=6«#rvf eEc.c1:.1 3/cf Z- 45 --56;76
BLDG. PERMIT OFFICE D TE PHONE NUMBER
County Auditor/Agent Licensing Office Approval: (Not for use by subagents)
I certify that the above application appears to have been completed correctly, and that the applicant has sufficient
documentation to proceed with the recording of this form.
NAME
SIGNATURE
OFFICE/CAAP OPERATOR NUMBER
DAT E
Recording Office:
I certify that this form has been recorded in the county records.
NAME
SIGNATURE COUNTY DATE RECORDING NUMBER
Note: Every person who falsifies or intentionally omits material information required in an affidavit is guilty of a gross
misdemeanor punishable in accordance with RCW 9A.20.021.
TD -420-730 MFG HOME TITLE ELIM (N/1190) Page 2 of 2