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Address Revision Application <br />City of Everett, Snohomish County <br />Submitted by: Ginny Boersema on behalf of Mike Palacios Date: 11/07/2011 <br />Please complete the numbered items. <br />1. Date needed (please allow two weeks): <br />2. Current address (es): 3020 Wetmore Ave <br />3. Reason for change/ concern (include related information and suggested resolution below): <br />Request to change address back to original 3028 Wetmore Ave, which has been verified with the property owner <br />representative, Mike Palacios, on 12/21/2011. <br />4. Photo or map attached: <br />✓ Yes / No <br />5. Owner name and mailing address Phone: e-mail: <br />CITY Oh I:VERE"I'"I', 3200 CEDAR 3I', (425) 257-8938' mpalacios@ci.everett.wa.us <br />Owner approval received 12/27/2011 <br />�_ <br />EVERFIT, WA 98201 I <br />l <br />L — <br />Date: 11/2322011 (FOR OFFICE USE ONLY) Log No: A1112-003 <br />Current Parcel Address: 3002 Wetmore Ave <br />Suggested Parcel Address: No change <br />Owner approval to revise parcel address received: Yes / No ✓ <br />,vner approval to revise building address received: ✓ Yr= % N I I <br />OE Master Address: 3020, 3024, 3026, 3028. & 3030 Wetmore Ave and 1619 Pacific Ave <br />-..a Sync GYS Map Address: 3020, 3024, 3026. 3028, & 3030 Wetmore Ave and 1619 Pacific Ave <br />Microfiche: 3020, 3024, 3026, 3028, & 3030 Wetmore Ave and 1619 Pacific Ave <br />tility Billing: 3024 Wetmore Ave (Muni Court and Nares) 010697 3/4" water service current <br />active service. 3028 Wetmore Ave (proposed 2 inch fire and 2 inch domestic). <br />Field Address Verified with Photo: Yes / No ✓ <br />