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qppLfCAT� N FOR HOUSE NUMBER <br />Street 51st Place S.W. <br />1;/23/66 Number Assigned <br />1013 <br />Date <br />Name Helm Construction — <br />Phone. <br />Present Address _ <br />New Residence <br />Legai Description of Property Lo{ 17 Seahurst Manor ,_ <br />CITY OF EVERETT Issued by �An 82stvs <br />ENGINEERING DEPARTMENT •�'*.-•� <br />FORM N0. ��5�007 J�^��� <br />