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P110L/CWaRK5 Address Application <br />Building Type: [SinoleFamily Residence ❑New [X]Revise ❑Preliminary(future) <br />Please complete numbereditems (1- 7) and submit by e-mail to: mholey&i.everettwa.org Call425-257-8813 for other options. <br />1. Your name: jHeatherBlakely <br />Date:2122113 <br />2. (a) Mailing address: (b) Phone (c) e-mail: <br />BLAKE.-LY CHRISTOPHER CHARLESIHEATHER I l(425) 2584095 chblekely@me.com <br />LYNN <br />3428 HOYT AVE, EVERETT, WA 98201 -- ----- <br />3. Date needed (please allow up to 4 weeks for assignment or verification): '2/28/13 <br />4. Address submlted for feview:3433 SNOHOMISH AVE, EVERETT, WA 98201-4149 <br />---------- - <br />5. Current or proposed use of address submitted for review: <br />Front door is being relocated to face. 35th St as part of permit number C1208-020. Address revision suggested by city for main <br />entry door facing 35th St is: 601 35th St. <br />6. Site plan attached (recommended to expedite request): r El Yes / No ❑ <br />7. (a) Owner name and mailing address: (b) Phone: (c) a -mail: <br />Same as above I L - - _� <br />Date: 5I2113 FOR OFFICE USE ONL Y Log No.: A1305-001 <br />Current Parcel Address:3433 SNOHOMISH AVE <br />Suggested Parcel Address:601 35TH ST. <br />Owner written approval to revise parcel address received: 0 Yes / No ❑ <br />Owner written approval for city proposed address received: Z Yes / No 0 <br />COE Master Address: <br />3433 SNOHOMISH AVE <br />Go Sync GIS Map Address: <br />3433 SNOHOMISH AVE <br />Microfiche: <br />3433 SNOHOMISH AVE <br />Utility Billing: <br />3433 SNOHOMISH AVE <br />Permit Services: <br />3433 SNOHOMISH AVE <br />Field address verified with photo: ❑ Yes / No El <br />Application form available online at http;/(www.everettW orE/Get PDF.aspV?p0ID=5448 <br />