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APPLICATION FOI� iiOUSE NIiMBER <br />4/12%65 <br />Date <br />Street LOwell Bd <br />2527 <br />Number Assigned <br />Name-- Ralph RothYock Phone <br />Present Address ZZZ� LOWE17_ Rc.'. __ <br />Lot 65 Lewell View Tracts <br />Legal Description of Property <br />Change of address _ <br />CITY OF EVERETT <br />Gene Bast s <br />ENGINEERiNG DEPARTMENT Issucd by Y — <br />,�`t.., <br />FORM NO. 435-0Ot �.-��,-. ' <br />