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APPLICATION FOR HOUSE NUMBER <br />uate 11/21/6 <br />SUcet Aeech St. _ <br />Number Assigned 6129 __,___. <br />nlame David A. Duiardin I'hune <br />Pres�nt Address <br />Legal Description cf Property <br />• . •�- <br />CITY OF EVERETT <br />ENfiINEER�NG DEPF,RTMENT <br />FORM NO. �:15-001 Q.-`.- <br />Issued by �Kenneth R. Stprseth <br />.{�cF. � <br />