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APPLICATION FOR HOUSE NUNidER <br />Date 7�22�14 <br />Name Leslie Wold <br />55th St <br />Stre=t — <br />Number Assigned 2026 <br />Present Address N�W 13esidence _ <br />Leyal De,r.ription of Prop• y Lot 16 glock 5 Plat <br />1 Heie��ts <br />Phone <br />CITY OF EVERETT <br />ENGWEERING DEPARTMENT Issued by Rowland Robb <br />FORM NO. 435�007 Q��- �'��"'' <br />