4801 HARBOR LN 2018-01-02 MF Import

BUILDING PERMIT APPLICATION />; �•.•� �C / Applicant To Complete This Form If more than one building is to be contructed, submit a separate permit applica- tion for each building. A1separate permit will be issued for each building. A. Owner n d &h A J v O Building Address %� �� j~%/iY£'.U.2�t� PAC Address P • 0 . Atx 4 ZAB Lath' % Block City lt1uk _ Phone 3S5—III Subdivision (Plat) /-t-,��-��rL,.•'rxl.c,i'`p� Architect/Engineer S�Mte City Phone Metes 6 Bounds (Unplatted) Contractor A(�CID Sec._ Twp. Rge Address P. 0. Box 428E MuKilteo, as m on / . f City Phone Building Use Lot 26, Re -Plat Of Lot \ Darlington, accordin;; to th3 Plat thereof racor(1ed in Volume 9 of Plats, Page 50, r3cords of th- Auditor of Lira County of Snohomish, State of C'ashington, Ilan Portion thereof described as follows: st the Southeast corner of said Lot 2 thancs ;vortherl} on v lint thereof 97.67 feet to an angle Point on the Fast lin3 u- thence continue Northerly on said last line 1S feet; th nce c allel with the Southerly line of said lot to intersect the of that c-rtain Tract of land conveyed to the City of :ipal corporation, by d3-ad recorded under Auditor's rila aco Southerly on said 171astarly line to the South line of Easterly along said Southerly line to the point of 10 n �s •.ion thereof which lies }'rest of the East line of A vayed to the City of bvaratt by dazed recorded 2293924. 4 ^ '' of Stto?tomish, State of lrashington. ' Signed B ,�/LU(!/ l 4:'N4e)U 0 a a1 For d �ei7Q ildLf7�C� Owner Phone c I ` u0 NOT WRITE BELOW THIS LINE -FOR CITY USE ONLY Date ^aceived I D� 5� U-e Zone 4�ijC?.-»1,.,( Plan Check Number % - 2- U , Fire Zone Valuation Occupancy Group f Permit Fee Type of Construction Plan Check Fee Occupant Load Total Fee Due ' Sprinklers Required Date Issued