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APPLICATION FOR HOUSE NUMBER Street 74th St S.W <br />Date 519/63 _ Number Assigned 12 <br />Name_ Nail Waller-9 Phone <br />Present Address NPw Residence <br />Legal Description of Property.J. <br />oi 11 Shield Crest Add <br />CITY OF EVERETT <br />ENGINFERING DEPARTMENT <br />FORM NO. 4960Ot (9-- <br />Issued by_ Jeny Wootan <br />.qw, r <br />