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APPLICATION FOR HOUSE NUMBER <br />Date August 2� 19ti7 <br />Name Dr. EdNin Chase <br />Presen[ Address Ne�v Res;Jence <br />Strect Muk i 1 teo Bl vd. <br />Number Assigned 1931 <br />Phone <br />Legal Description of Property Tract 4'j less E 170� as measured to E 1 ine <br />R=plat of Lot X DarlinQion <br />CIT.Y OF EVERETT <br />ENGINEERING DEPARTMENf <br />Issued by Steve Wilbur <br />FORM NO. 435-001 Q.-k..- „�,,,� <br />