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BUILDING PERMIT APPLICATION <br />Applicant To Complete This Form <br />If more than one building is to be contructed, subm;t a separate permit applica- <br />tion for each building. A11separ.ite permit will be issued foreachbuilding. <br />Owner \JvOBuilding Address <br />Address P•0. ('c)c QZ.a Lot% Block <br />City 04UAt Leo Phone 3$5-11'_,S Subdivision (Plat) aC:�/neL mc/ <br />Architect/Engineer SA;,tC <br />City Phone Metes s Bounds (Unplatted) <br />Contractor nt<1Ai A ��ep Sec. Tap. Rge <br />Address P. 0. Box 428 <br />r�IuKilteo, WasMinglon YE3?.14S �iac <br />Citv Phone Building Use <br />Lot 26, Re -Plat of Lot X Darlington, according to the Plat thereof <br />racord!d in Volume 9 of Plats, page 51, r3cords of th:: Auditor of <br />is the County of Snohomish, State of 19ashington, <br />EXCEPT that portion thereof described as follows: <br />Baginning at the Southeast corner of said Lot 26; th nc�: Northerly on <br />the Fasterly lin- thereof 97.67 feet to an angle point on the Fast line <br />of said lot; thence c:,ntinue Northerly on said Fast line 15 feet; th nce <br />Westerly, parallel urith the Southerly line of said lot to intersect the <br />Easterly line of that certain Tract of land conveyed to the City of <br />Everett, a municipal corporation, by deed recorded) under Auditor's File <br />No. 2293924; thence Southsrl, on said Easterly line to the South line of <br />said lot 26; theace Easterly along said Southerly line to the point of <br />b_aginning. <br />ALSO EXCEPT that portion thereof Which li3s West of the East line of <br />that curtain tract conveyed to the City of 11.ver-att by deed recorded <br />under Auditor's Fila NO. 2293924. <br />All situate in tlia County of Snohomish, State of liash.ington. <br />Basement <br />Signed ,1J,(.lu�/ Q21 44M <br />For <br />owner Phone ,755_//_,3_5 _ <br />DO NOT WRITE BELOW THIS LINE -FOR CITY USE ONLY <br />Date Received -7IOj (5'..C� Use Zone <br />�a <br />Plan Check Number Z- V Fire Zone <br />Valuation occupancy Group <br />Permit Fee Type of Construction <br />Plan Check Fee Occupant Load <br />Total Fee Due Sprinklers Required <br />Date Issued <br />