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APPLICATION FOR HOUSE NUMBER <br />Date 12 --18 — 1962 <br />Name �• H, McCullock <br />Present Address Rou te 5 Box 862 A <br />Legal Description of Property_ �o :;� Bl l: 3 Dar 1 i <br />CITY OF EVERETT <br />ENGINEERING DEPARTMENT <br />FORM NO. 435A07 �)..�..,_ <br />Street Mukil:oe Blv�. <br />Number ASsigned <br />n <br />3 <br />Phone_FA � �50a <br />Issued by �� tv ('T L_ <br />•+E,�'.� <br />