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APPLICATION FOR HOIISE NUMBER <br />Date�l��(''� — <br />Strect — � �t <br />Number Assigned <br />Name " �"��'�r� - Phone <br />Present Addiess <br />Legal Description of Property Iln_----01!5 S�G —�-=2$= <br />CITY OF EVERETT �'�ne Rasi <br />[NGINEERING DEPP.RTM[NT Issucd by—.�-----�'==-- — <br />a'�.. <br />FORM NO. 435�001 ��•: �-^�•- <br />