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. . ..k�" �.��Y:...:. �:J�:��.::� _ � . <br /> CHIP � � � ' <br /> � � � ;, cmr oF eve�rr <br /> COIVQvIUNITY HOUSIIVG [MPROVEIv�NT PROGRAM <br /> To: Plans Examiner, Building Department <br /> From: {�/� ��/4�/f�i(f , CHIP Stati <br /> Date. ��" 3O— �I�I <br /> RE: Z�E�N SE✓01rI Ovmers Name <br /> �O/ 7 G�G�.�/ELI4ND >�1�.Project Address <br /> Attached ero the Repair Specificetions for the above mentioned projer.t. Pleaee provide <br /> CHIP the following iMormetion by initialing the proper box. <br /> Yes No <br /> Plen check required: � ^..,/ <br /> ��/j � <br /> Iq9 <br /> �11 ' <br /> Please retum this form to C IP s eoon as posaible. <br /> Thank you. �(�c� <br /> D L� G� C � �i � � � <br /> � <br /> DEC O 1 1999 <br /> ................__... <br /> � CITY OF EVERETT <br />. FnQineerfnplPublic Servlcas <br /> CITY OF EVERETT <br /> '93011'rmiore A�enue. Suiie 800 • E�eretL WA 98'_01-1(W�i <br /> 14251 _'$7-R7�5 • Fatl�'_5� 257-862R <br />