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CH � P <br /> � � � � CITI' OF E�'ERETT <br /> CO'�L'�tUtitTl' HOUSING IMPROVEMENT PROGR�+.�i <br /> To: Plans Examiner. Building Department <br /> �a� Mµ� , CHIP Staff <br /> From: <br /> Date: I o Z 3 '�'> �1� <br /> RE: <br /> o,,; V�loodh�ll Owner'sName <br /> � 5 � (o Co I b . Project Address <br /> Attached are the Repair Specifications for the above mentioned project. Please provide <br /> CHIP the following information by initialing the proper box. <br /> Yes No <br /> Plan check required: � ❑ <br /> � <br /> o z1l`1� <br /> Please return this form to CHIP as soon as possible. � � <br /> Thank vcu. G4'�+'� <br /> C[TY OF FVERETT <br /> ?930 Wetmorc A��enue. Suite I(�0 • E�eret[. �'�A 98201--#044 <br /> (206) '_59-8735 • Pas 1�l)bJ '_5y-8626 <br />