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PUBL/C IYORKS Address Applicati�on <br /> *x. <br /> Building Type: �Commercial � ONew OX Revise OPreliminary(future) <br /> Please romplete num6ered items(1•7J and svbmit by e-mail to: mholey@ci.everettwo.org Ca11425-157-8813 forotheroptions. <br /> 1.YOU��0t110: �Meg Haley on behalf of Kami Erickson _ _ _ _1 D0L2:�1/23113_ . _ I <br /> Z. (a) Mailing address: __ _ (b) Phone _ (c) e-mail: _� <br /> �Lobsang Dargey do Kami Erickson,Dargey [425)304-7000_l kami@dargeyenterpnses.com � � <br /> Enlerpnses 2004 Grend Ave#3D8,Everelt,WA <br /> 982013586 �—�----------------�----- <br /> ---------------�------� ------ <br /> 3. Date needed (please allow up to 4 weeks for assignment or verification),��aon3_.__ __-_� <br /> 4. Addresssubmitedforreview:tstsPao�r�n�e <br /> � ------------------�_-------- <br /> 5. Current or proposed use of address submitted for review:_ _ ______�________.___ <br /> Add ihe(nllowing addresses fo tho building and city databases: 7303 Pacific Ave, 1309 Pacific Ave, 1313 Pacific Ave, 7325 � <br /> Pacific Ave,and 3024 Rucker f�ve,in addilion to the original address of 1315 Pacific Ave. <br /> _ _.__._ . _�-- -- ------------�-�-------- - <br /> — -----_-_._.__--------------- --'— <br /> 6. Site plan attached (recommended to expedite request): Lodified with changes �YE'S�NQ ❑ <br /> • c e-mail: <br /> 7. (a) Owner name and mailing address: (b) Phone: ( 1 _._,____ ,_ <br /> r----- <br /> Lobsang Dargey c/o Kami Erickson,Dargey Enterprises, rq25)304_1000_� lobsang@dargeyenterprises.com � <br /> 2804 Grand Avo#308, Evere�t,WA 9R201-3586 --� <br /> Date: 1123113 FOR OFFICE USEONLY Log No.: A7112-00� <br /> Curfent Paftel Addre55:3G30 Rucker Ave and Urknown/Unknown <br /> Suggested PaYcel Address:Merge lols and change parcel address l01315 Pacific Ave <br /> Owner written approval to revise parcel address received: � Yes/ No � <br /> • 0 Yes No ❑ <br /> Owner written approval for city proposed address received: / ___ <br /> - - -- - <br /> COE Master Address: <br /> Compleled. <br /> Go Sync GIS Map Address: <br /> To be updated with information on Ihis application. <br /> Microfiche: <br /> To be updaled with informalion on Ihis application. <br /> Utility [3illing: <br /> To be updaled vdith in(ormation on Ihis applicalion. <br /> Permit Services: <br /> To bo updaled with in(ormation on tbis application. <br /> Pield address verified with photo: ____ O Yes J No ❑ <br /> ; � ��.,i��,n- i, : .i'. I �,I.. ��.;�thitp�.//cnvw.e��erettw�.org/Get_PUf.aspr�?Pdfl[)=5�48 <br />