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CHIP <br /> � �� �,� , CITl OF E�'ERETT <br /> � � �-'sl COtiL'�tCJNITY" HO�SING [�iPRO�'E�4E�lT [�ROGR,a�t <br /> To: Plans Examiner, Building Department <br /> From: 10� MNrraJ , CHIP Staff <br /> Date: 5 — ��f —9 � <br /> RE: .�u �:a Pe n c � � Owner's Name <br /> _ _�L O O �-F Co � b y l�ve . 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 /> ��3�9� <br /> Please retum this form to CHIP as soon as possible. <br /> lhank you. ��m <br /> CITY OF EVERETT <br /> 2930 Wetmore .4venue. Suite 1011 • E�erett. WA 98_'O1--104�1 <br /> i'_061 ?59-8735 • Fax ('_061 ?j9-8636 <br />