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APPLICATION FOR HOUSE NUMBER Street 63rd St <br />Date _4,jnuTt 2121 • 1961ti Number Assigned I i0411 <br />Name Don Berg <br />Phone _—Al2— 3304 <br />Present Address New Residence <br />Legal Description of Property Lot 15, B1ck 71 Bev, Hills Div. #2 <br />CITY OF EVERETT <br />ENGINEERING DEPARTMENT <br />FORM NO. 435-001 &y....... <br />Issued by Steve Wilbur <br />..C*. <br />