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APPLICATION FOR HOUSE NUMBER <br />Date -- <br />/ <br />Name .G. /S <br />Street �- • -> . '_ <br />Number Assigned _ / rl <br />Phone �- <br />Present Address 6", <br />l <br />Legal Description of Pruperty �r.��y � / t Lit/E ;;��Al <br />CITY OF EVERETT <br />ENGINEERING DEPARTMENT Issued by�� <br />FORM NO. 435-001 (9". „r <br />