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PUBL/L i�f�ORKS REVIEWED <br /> Address Application ByMegHafeyat9:02am,M�y25,2012 <br /> Building Type: Commercial and Residential !JNew [xJVerify ❑Preliminary(futun <br /> Pleose complete numbered items(]-7)and submit by e-mall to: mhaley@cf.everett.wo.us Ca11425-257-8813 for other optlons. <br /> 1. R8Iat10f15h1P i0 OW�2f: Praperty Manager/Accountant Date:snanz <br /> 2. (a)Your name and mailing address: (b) Phone: (c) e-mail: <br /> Trecey Lareon (425)252-3161 Vacey@6argreencoKee.com <br /> EverettAve HMB LLC <br /> . 2821 Rucker Ave,Everett,WA 98201 <br /> 3. Date needed (please allow up to 4 weeks for assignment or verification): snnz <br /> 4. Primary address application: New. soo�end(existiny�3005 everetta.venue,Everett,WA 98207 <br /> 5. Supporting information and current use of primary address (licenses, marketing, etc.): <br /> Umers�operty manager a�reed lo the address o(3005 Everett Ave for the commercial structure1per the issued Certificate of._, <br /> - Occupancy,and requesled lhat the residence address be cfianged to 3007 Everelt Ave. �Per Ms.Lerson: We will use the house <br /> as e residential propertypnd the garage as commerciel.] ___ .._. <br /> 6. Site plan attached (recommended to expedite request): Mariced Per request O Yes/ No ❑ <br /> 7. (a) Owner name and mailing address: (b) Phone: (c) e-mail: <br /> Howard Bargreen,Managing Member (425)252-3161 hbargreen@aol.com <br /> EverettAve HMB LLC <br /> 2821 RudcerAve ' <br /> Everett,WA 98201 <br /> p;r2; 5/25/12 fOR OfFICE lISE ONL}� Lo_q A'o.: A1205-004 <br /> �:urreni Parcel Address:3005 EVERETTAVE, EVERETT, WA98207-3811 <br /> Suggested Parcel Address: <br /> Owner written approvai to revise parcel address receiv2d: ❑ Yes/ No � <br /> Owner written approval ior city propos>_d address reczived: 7 Yes / No ❑ <br /> COE Mastzr Address: <br /> 30�5 EVERETTAVE <br /> Go Sync GIS Map Address: <br /> 3005 EVERETTAVE , <br /> Microfiche: <br /> 3005 EVERETTAVE <br /> Utility Billing: � <br /> 3005;.verett Ave <br /> Permit Services: <br /> 30D5 Everett Ave <br /> Fi21d address verifi2d with photo: sezoes ❑ Yes/ No � <br /> ApFlicztion form available cnline at htto•//www everettwa ore/Get PDF aspx?pdf10=5448 Updated 2/:3/2012 <br />