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APPLICATION FOR HOUSE NUMBER <br />Date �!7j 69 <br />Name_ Walt Th <br />Present Address <br />Highland Drive <br />Street <br />Number Assigned <br />Phone <br />Legal Description of Property S. 150' of Lot 17, Blk.Bt BeverlV Park <br />CITY OF EVERETT <br />ENGINEERING DEPARTMENT <br />FORM NO. 435-001 Q.-+,- <br />Iss��ed by— Tim Romo <br />.��,� <br />