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APPLICATION FOR HOUSE NUMBER <br />Da[e � � � �' <br />�ittE'Cl �-�� <br />i�, <br />�Limher Assigned �'�i4�� -��--" <br />,-� _r, �' - ;j .'-i <br />N�me <br />�� `�. � �J {:.�1 u . �P h � IL� — Phone .3 -� �> / . <br />� r. � � 'c�. 7 - ---- — <br />Presen[ Address �""'�%T'' <br />J _7 , c� . <br />Le9al Description of Property-.� 4-C' � � <br />CITY OF EVERETT <br />ENGINEERINIi GEPARTPAENT <br />FORM NO. 435-001 (:��-'•^�- <br />i � <br />Issued by_ - � � "� <br />:_..'Y.9 <br />