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APPLICATION FOR HOUSE NUMBER <br />Date . - <br />Street <br />Number Assigned __ % / % <br />Name Phone.-2 <br />Present Address <br />Legal Description of Property I- <br />_L <br />CITY OF EVERETT <br />ENGINEERING DEPARTMENT <br />FORM NO. 475001 <br />Issued by --�( <br />..C*. r <br />