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. . . . �-nl l5'0�{-001 <br /> PUBL/CWORKS Address Verification Request <br /> '^I'��vcd �iy V v� �lz 9 <br /> Please describe the properties involved: � �� __,1 Z`f"%� �'� S •___ _ I <br /> Plensc rompletc num6ered items(1 -l)and su6rnit by c�mal to: everetteps[�everetnca.9ov <br /> — :� � �—�----r-'-� '� <br /> 1.Your name:i....rer v.jn. . (?ree�� _. __...-- -----' Date:; �.-r'�;='>5.... . <br /> 7_. (a) Your mailing address: (b) Your phone: (c) Your e-maiL•___ <br /> ^i i q o r�2;�, 5,'- s= -- �/��-3�✓���'•�' -. <br /> . " j:EU:.a:,L7P,re^P�; L�f�1fi�lxG'aF[t.'.B•I' <br /> �v2r-r•i� Lt�Ct _! �� �cl _. _ . <br /> 3. Date needed (please allow up to 4 �veeks for review): � �9��-'ry�t S, <br /> _ . _ __ . _.___. .. : : <br /> 4. Posted building or road address: � I I � — V l?_kti S'� S� _ <br /> 5. Please summarize your concern with the assigned or posted address: T _ __ <br /> -i�._��.�._��E,�=� �1,��,�<,�J� ._.�.o_. �i��4 �.s,� Ave s� bec�. vs� <br /> r.�n v� <br /> .c. 1 n ) <br /> �� �Y�VC ?. ..�.r � .. ;i:1 .���-�'� :�:i� �(�ot)�{' �O.V2 �7YODl�F:7�5 i�.7(J ro:�,i /'i�' _. . __' <br /> _ � .._:::_. " ' <br /> .. _. . _ . .. . .. __—___— "�_"_'""__. _....__"_ <br /> __' <br /> 6. Map attached to describe property or road location (to expedite review): �es / No G <br /> c Owner e-mail: <br /> 7. (a) Owner name and mailing address: (b) Owner phone: ( )__ _,____.__, . ,__ <br /> � �cl�i� d� S c�'�UV•� `�G�x�� G . 1.-�'(r� <br /> �v � rv1G G5 _• <br /> Ca[e: ._. _ .. . _. .__ ._ ��1� �Y`'�.��i�' �����d'�L�.� Chvi.Nn.: <br /> Current Parcel Address: <br /> 5uggested ParcelAddress: <br /> Owner veritten approval to revise parcel address rec2i�ied: ❑ Yes/ No n <br /> � Yes No ❑ <br /> Owner v,�ritten approval for city proposed address received: / <br /> - -.___. .__.... . ..- .- <br /> COF Nlaster Address: <br /> Go Sync GIS Map Address: <br /> IVliirofiche: <br /> Utilily 6illin;;: <br /> Permit Services: <br /> Field address verified witli piioto: ❑ Yes / No ❑ <br /> App!ication form availabl2 onllne at http;[/w�y�v_�vcrettw��.org/Get_PDFaspx?g�ifi�55a48 Updated 7/17/2U1J <br /> C[TY OP NERtT�13UILDIfJG DC-PARTP1fiNT 320U CEDAR ST, EVFRf_TT�, �'h� 9n20 i 425-257-68t0 vdwtv.everett�va.org <br />