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(�f� � PUBL/C IVORKS Address Application <br /> �;�`.-.": .. . <br /> r , , — �New �X Revise ❑Preliminary(future) <br /> 6wlding lype: ICommeraal, _ _ . .._. _ —..� <br /> �17rnsecompletenumbereditems�i-7)andsu6mitbye-moilta: mhafeyCaci.eveiettwa.org Ca11425�257-3313Joratheioptions. <br /> � 1. YOUf Ildfl'1�: �Meg Haley on behalf ol Kami Erickson D0t2I�1/23113 <br /> � 2. (a) Mailing address: (b) Phone (c) e-mail: <br /> Lobsang Dargey Go Kami Erickson,Dar�ey ',(425)304-1000 ; ��kami@dargeyenterprises.com <br /> Enterprises,2804 Grand Ava tt 308,Everott,WA ' i <br /> 98201-3586 ' <br /> 3. Date needed (please allnw up to 4 weeks for assignment or verification): ,vson3 � <br /> 4. Address submited for n. iew:iais�a��rcn�e � <br /> 5. Current or proposed use of address subn:itted for review: <br /> Add the following addresses to Ihe buitdinc�and city dalabases: 1303 Pacifc Ave, 1309 Pacifc Ave, 1313 Pacific Ave, 7325 <br /> Pacifc Ave,and 3024 Rucker Ave,in addition to lhe original address of 1315 Pacifc Ave. <br /> 6. Site plan attached (recommended to expedite request): ih�odaied wim cn�n�es `O Yes/ No ❑ <br /> 7. (a) Owner name and mailing address: (b) Phone: (c) e-mail: <br /> �iLobsang Dargey c'o Kami Erickson,D�rgey[nlerprises,�I �(425)304-1000 I �Ilobsang@darc�eyenterprises.com �� <br /> 2&04 Grand Ade 1!308.[veretl,1NA 98201-3586 , , <br /> �' �I � _ _ . _ .. _ _ . - <br /> pdte• 1I23113 FOR OFFICE USEONLY Log No.: A1112•001 <br /> Cur�eitt Parcel Addre55:3030 Rucker Ave and UnknownlUnknown <br /> Suggested Parcel Address:Merc�e lols and change parcel address l0 1315 Pacific Ave <br /> Owner written approval to revise parcel address received: O Yes/ No � <br /> O Yes No ❑ <br /> Owner written approval for city proposed address received: � <br /> COF Master Address: <br /> Complcled. <br /> Go Sync GIS Map Address: <br /> To be updzled wiih intonnation on this application. <br /> Miuofiche: <br /> To be updatcd with information on Ihis applicalion. <br /> Utility Billing: <br /> To be updated with informa�ion on ihis applica�ion. <br /> 9crmit Services: <br /> To he updaled with in(ormation on this application. <br /> Field address verified with photo: <br /> O Yes/ No ❑ <br /> � i , .,��.� ` .,��� . �. -��.I b ��r r,l r�.�.�t htryi'//�'nv�v.evemitwa.o�Ge[ PDF.aspx7pd(ID=5A48 <br />