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APPLICATION FOR HOUSE NUMBER <br />Date <br />Name <br />10 — 2 — 1963 <br />Moore (Rex Slrickland� Qvner) <br />Present Address Route 5 <br />Strect Muk i 1 teo Blvd. <br />Number Assigned 3621 <br />Phone <br />Legal Description of Pronerty Fr. Lot 25� Edgeevater _ <br />CITY OF EVERETT <br />ENGINEERING DEPARTMENT <br />FORM NO. 435-001 �.��^ <br />Issued by Gene Bas i <br />.,�tiy, r <br />