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APPLICATION FOR HOUSE NUMBER <br />Date �n /� <br />Name <br />Present Address <br />-- J/- -r <br />Street 1204 JI-llA <4 <br />Number Assigned V <br />Phone Z-0 4 - 7326 <br />i p <br />Legal Description of Property �) f�At ` 1 Pe �7l'- G 1 - 2.8 — 4 <br />CITY OF EVERETT <br />ENGINEERING DEPARTMENT <br />FORM NO. 435-001 �•�--+- - <br />Issued <br />