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APPLICATION FOR HO"^E NUMBER <br />Date 3/12/68 i__ <br />Name <br />P�shik <br />Prasent Address NEw Duplex <br />Leyal Description ot Property <br />Screec _ Beverl�r Lane <br />6828 <br />Numbcr As.igned _ _ <br />Phcne <br />W lld' of the E 310' and the N 60' of the 5 110' of Lot 2 <br />Beverlv AcreaQe Tracts. <br />CITY OF EVERETT <br />ENGINEERING DEPART�IENT Issued by /M Ge:';gez <br />FORM NO. 435-001 Q.»•.�- '�'��' <br />