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CH � P <br /> � � � � cm�oF evEr�rr <br /> � CONA�fUNITY HOUSING L�IPROvEhtENT PROGRAM <br /> � � 6 �on � � <br /> DEC 28 1992 <br /> _.__..................__........................__ <br /> CI7Y OF EVERETT <br /> TO� Plans Examiner Public Works Dept. <br /> , ilding pepartment <br /> ecom: � (�e�lfJ��L[.4� <br /> � Q3IP Stdff <br /> �ate: /�- Z3- 9 Z <br /> `�` ��r�o.u�e- ,�oNG�,J <br /> owner's Nane <br /> 3¢/( LO.LIg.,� pRo.7�cT <br /> �s Address <br /> Atta�ed aee th? Repair Specifications for the above mentioned projecl, <br /> Please provide CHZp t}�e following infocmation by initialing the pcopec tox, <br /> �S NO <br /> ['lan Chedc Requiced: ❑ I/ <br /> !� <br /> !y <br /> Please retucn this form t �3Ip as soon as pc�ssible. ��/�/�L <br /> 'Iriank <br /> O/ Y«,. <br /> '� c <br /> / <br /> ,,-� <br /> ,>jl��� <br /> i�� <br /> LOG\TION: 2731 \VL-'I�!OKE ,�VEN[JE <br /> \9AIL[NG ADDRESS• 3002 �.VETMORE r�VENUE. EVERETT. �VA 9320I <br /> PHONE: 259-8735 p.�Xx z9q.c�a� <br /> r <br />