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Address Application <br /> pueuc wo�Ks � <br /> 4 <br /> BuildingType: Commercial <br /> �New ❑X Revise OPreliminary(future) ? <br /> Pleaserompletenum6e:editems(1-7)ondsubr.ii[bye-mailto�mBaley@ci_evere_.va.org Ca11425-257-8813forotherop2ions. <br /> 1.Your name: �g Haley on behalf of Kami Erickson_ ___ � D0tE:1/23I13 ._ J <br /> 2. (a) Mailing address: (b) Phone _ (c) e-mail: <br /> Lobsang Dargey do Kami Erickson,Dargey—� [425)304-1000 kami@dargeyenterpnses.com <br /> Enterpnses,2804 Grand Ave#30G,Everett,WA C _ � ^._________ ____ <br /> 98201-3586 _Y --��� <br /> 3. Date needed (please allow up to 4 weeks for assignment or verification): vso��s_.___� <br /> 4. Address submited for review:�3ts Pacie�n�e ___.�__ <br /> 5. Current or proposed use of address submitted for review:_ __ � <br /> Add the following addresses to lhe building and cily databases: 1303 Pacific Ave,1309 Pacific Ave,1313 Pacific Ave, 1325 � <br /> Pacific Ave,and 3024 Rucker Ave,m additwn to lhe original address of 1315 Pacific Ave. � <br /> 6. Site plan attached (recommended to expedite request): Modieed w�m cnanyes__ O Yes/No ❑ <br /> c e-mail: <br /> 7. (a) Owner name and mailing address: (b) Phone: ___ ( ) _,_ __— <br /> Lobsang Dargey rlo Kami Erickson,Dargey Enterprises, (425)304-100� Iobsang@dargeyenterprises.com � <br /> 2804 Grand Ave#308,Everelt,WA 98201-3586 <br /> Date: ��z3��3 FOROFFICEUSEONLY LogNo.: A1112-001 <br /> Cu��ent Parcel Add�ess:5�30 Rucker Ave and UnknownlUnknown <br /> Suggested Parcel Address:Merge lots and change parcel address to 1315 Pacific Ave <br /> Owner written approval to revise parcel address received: � Yes/ No � <br /> � Yes/ No ❑ <br /> Owner written approval for city proposed address received: _ __________ ___—__ <br /> COE Master Address: <br /> Comple�ed. <br /> Go Sync GIS Map Address: <br /> To be updated wilh information on Ihis applicalion. <br /> Microfiche: <br /> To be updated with informalion on Ihis applicetion. <br /> Utility Billing: <br /> To be upda�ed with iafortnalion on ihis application. <br /> Permit Services: <br /> To be updated with intormatiun on lhis application. <br /> fieid address verified with photo: � Yes/ No ❑ <br /> Applicationfom�availatl?onlineathttp_/Iwww.everettwa.oig/Get PDF.as x?pdfID=5448 <br />