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APPLICA7pUN FOR HOUSE NUMBER <br />Date "' � � � � . ��` <br />si��ei <br />i = '- <br />f .-> <br />Mumber Assigned.�.�" <br />Name ,�'� �.) i 1'�• �' �''� I: ' A F,.'' I � �`-.i i. l ( � . Phone � .'rJ r _. � ` .. <br />Present Address • �"- <._x �"7- � <br />r <br />Legal Description of ProFerty �--� �� �-' `�� I ��f '�...� Z.. - °�� ' � � ( /.- � } �-� - <br />r <br />. h,i 1 �'µ : ��. � i � <br />/ _ .iU � , <br />CITY OF EVERETT <br />ENGINEERING DEPARTMENT <br />FORM NO. 435-001 u�•�•,., <br />di� <br />! �,' <br />Issued by <br />•_J2.v <br />