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I <br /> PUBL/C INORKS Address Application , <br /> i <br /> :; <br /> BuildingType: Con�mercial —� �NeW ❑xRevise ❑Prelirr,inary(future) <br /> Pleose mmplete numbemd items�1-7J and submit by e-mail t�: mhafey@ci,evemttwo.org Co11425Q57-8813 for other options. <br /> 1.YOU�flatTle: (�A7e�g Haley on behalf of Kami Erickson . _ _� DaYe:�1123l13 � <br /> I ------ -— -- - - <br /> 2. (a) Mailing address: _ _ _ (b) Phone _ (c) e-maiL• ^! <br /> �Lobsang Dargey clo Kami Enckson,Dargey — � (425)304-100J kami�dargeyeMerpris^s.com <br /> En�erpnses,2804 Grand Ave tJ 308,Everett,WA � � <br /> 98201 3586 -----------_....------- <br /> ------ ---'----- --�-- <br /> 3. Date needed (please allow up to 4 weeks for assignment or verification): vsons <br /> -�_-_=_-_-=-- <br /> 4. Address submited for review:��Pa��rcn�e <br /> �---------------------- ------- <br /> 5. Current or proposed use of address submitted for review__ ______.___ <br /> Add fhe followmg addresses to Ihe building and city databases: 1303 Pacifc Ave, 1309 Pacific Ave,1373 Pacific Aee, 1325 � <br /> Pacfic Ave,aod 3024 Rucker Avo,in addition to the original address of 1315 Pacific Ave. <br /> -- — ��-----.-----____'----- <br /> I- ..� ------'-__.------ --- ----- -�----- - <br /> 6. Site plan attached (recommended to expedite request): nnoairedw�u,cnan9es 1 O Yes/ No ❑ <br /> 7. (a) Owner name and mailing address: (b) Phone: �_ (c) e-maiL•` _____ <br /> Lobsang Dargey c/o Kaml[rickson,Dargey Enterprises, (425)304-100� lobsang@dargeyenterprises.com � <br /> 2804 Grand Ave#308,Everell,WA 98201-3586 <br /> Date: 1123113 FOR OFFICE USEONLY Log No.: A1112-001 <br /> Cuffent Pal'cel Addre55:3030 Rucker Ave and Unknown/Unknown <br /> SUggested Pat'tel Address:Me•ge lots and change parcel address l0 1315 Pacific Ave <br /> Owner written approval to revise parcel address received: � Yes/ No � <br /> Owner written approval for city proposed address received: O Yes/ No ❑ <br /> COE Master Address: <br /> Completed. <br /> Go Sync GI5 Map Address: <br /> To be updated with information on lhis application. <br /> Microfiche: <br /> To be updated wilh information on ihls application. <br /> Utility Billing: <br /> To be updated with informalion on this application. <br /> Permit Services: <br /> To be updaled wilh information on�his application. <br /> Field address verified with plioto: O Yes/ No ❑ <br /> A�:plication form ae�ilable r,nline at http_:[[www.everettwa.org[Get PDF.a;px7PdfID=5448 <br />