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a <br />. . �veivc wo�r�rs <br />Address Application <br />Buflding Type: N A P�u I A Jd n�� RQG1�o1� ❑New <br />Sent via e-mall <br />6/z�/rti mH <br />�Verify ❑Preliminary (future) <br />Please mmplete num6ered items (1 - 7) and subm)t by e-moll to: mholey@ci.everett. wa.us Co114I5•257-8833 Jor othrr options. <br />1. Relationship to owner: � r���� � � /�,1,�,� ,� Date: (i — /l•./.t <br />2. ) Your name and mailing address: (b) Phone: (c) e-mail: <br />��� ' �.r � y�' f�y9�i�►�e -/ / <br />�id1�-t ��PK `� C�?.,.�'�rf/P9,f+e¢'i�n <br />E'dGNr � ! M• ,Zo/ <br />3. Date needed (please allow up to 4 weeks for assignment or verification): <br />4. Primary address application: <br />5. Supporting information and current use of primary address (licenses, marketing, etc.): <br />S_/�i�K�� ilnlrrh.�� HJ!rYcl•J o.► 313�8� <br />6. Site plan attached (recommended to expedite request): ❑ Yes / No � <br />7. (a) Owner name and mailing address: (b) Phone: (c) e-mail: <br />,B�zi�N C•�!��o,� ll .2�G-'7�I'�-o�t,� 6n�,�e ��„r,rb����.�;�u <br />I3�/t/rd i2iJ���%� td�✓C �� ('dby Vtll �° 9�a.ti� ce�• <br />� e.+0 �I-e, �(i'� �/O� � <br />Cate: �p/ 2lr� � 2 FOR OFFICE USE OA2V t.ng �';'.: pj'�2U �o — <br />Current Parcel �ddress: � N��u�N <br />Suggested Parcel Addre;s: 3�j �v� (Lln`�`"��`� �}`� G <br />Owner written approval to revise parcel addre>s received: <br />Owner wrilten approval for city proposed address received: <br />Master Address: <br />Go Sync GIS Map F�ddre;s: <br />Micratiche: <br />Utility eilling: <br />Permit Services: : <br />Field address verified �+-i,h �?hoto: <br />N� <br />L Y��s % No i� <br />❑ Yes / No ❑ <br />❑ Yes / No 17 <br />n;;pl �at�u��. i�n�-�� �e,� ��:��L. �.,���, ,.n. http://www.evere[twa.orp/Get PDf.a5pz7pdfI0=5448 Updated'?i?-�%207i <br />�� <br />